Gardner Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

652 Issued in IA

Legal business name

GARDNER DRUG INC

Practice address

15 E Main St
New Hampton, IA 50659-2115

Phone

(641) 394-4131

Fax

(641) 394-4599

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tom Deutsch

Title

President

Phone

(641) 394-4131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Toms Family Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1245325901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "address_2": "PO BOX 309",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506592115",
            "telephone_number": "641-394-4131",
            "fax_number": "641-394-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506592115",
            "telephone_number": "641-394-4131",
            "fax_number": "641-394-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDNER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "DEUTSCH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-394-4131"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011130",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toms Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacy A Eckhoff, PHARM.D.
• Christopher John Eiler, O.D.
• Melinda Ellsworth
• Paul R Ewert, DC
• Family Treatment Professionals, LLC
• William G Halverson, MD
• Heather Harms, M.D.
• Nathan Harms, M.D.
• Jody Marie Harmsen, M.D.
• Heritage Residence of Community Care, Inc.

• Community/Retail Pharmacy in New Hampton, IA
• Providers in New Hampton, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.