Robert Michael Lagrange, RPH
Individual provider Active NPI Pharmacist · Vinton, IA
NPI 1245227685 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1245227685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15732 (IA)
- Practice address
- 111 W 4TH St
Vinton, IA 52349-1121 - Phone
- (319) 472-4274
- Fax
- (319) 472-4266
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15732 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15732 | IA | Yes |
Addresses
Primary practice location
111 W 4TH St
Vinton, IA 52349-1121
Mailing address
111 W 4TH St
Vinton, IA 52349-1121
Phone (319) 472-4274
Other providers in Vinton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.