Pembers Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

545 Issued in IA

Legal business name

PEMBERS DRUG INC

Doing business as

Pembers Drug

Practice address

1415 Main St
Rock Valley, IA 51247-1223

Phone

(712) 476-5379

Fax

(712) 476-5547

NPI assigned

Jul 30, 2006

Last updated

Sep 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Pember

Title

Owner

Phone

(712) 476-5379

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• PEMBERS DRUG Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1265447874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 MAIN ST",
            "city": "ROCK VALLEY",
            "state": "IA",
            "postal_code": "512471223",
            "telephone_number": "712-476-5379",
            "fax_number": "712-476-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBERS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "PEMBER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-476-5379"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "545",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1607158",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081653",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEMBERS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Rock Valley, IA
• Providers in Rock Valley, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.