Organization Active NPI

Sumpter Pharmacy Inc

  • Community/Retail Pharmacy
  • Adel, IA
National Provider Identifier
1265526677
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1196 Issued in IA
Legal business name
SUMPTER PHARMACY INC
Practice address
628 Nile Kinnick Dr S
Ste 1
Adel, IA 50003-2071
Phone
(515) 993-1119
Fax
(515) 993-1116
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Authorized official

Name
Toni Sumpter, PHARMACIST
Title
Owner
Phone
(515) 993-1119

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1196 IA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

628 Nile Kinnick Dr S
Ste 1
Adel, IA 50003-2071

Mailing address

628 Nile Kinnick Dr S
Ste 1
Adel, IA 50003-2071
Phone (515) 993-1119

Other identifiers 2

IdentifierTypeStateIssuer
0278127MedicaidIA
2030153OtherPK

Other names 1

  • SUMPTER PHARMACY and WELLNESS Doing business as

National Provider Directory

National Provider Directory

Locations

628 Nile Kinnick Dr S
Ste 1
Adel, IA 50003
Phone (515) 993-1119

628 Nile Kinnick Dr S
Ste A
Adel, IA 50003
Phone (515) 993-1119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1265526677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NILE KINNICK DR S",
            "address_2": "STE 1",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032071",
            "telephone_number": "515-993-1119",
            "fax_number": "515-993-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NILE KINNICK DR S",
            "address_2": "STE 1",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032071",
            "telephone_number": "515-993-1119",
            "fax_number": "515-993-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMPTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "SUMPTER",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-993-1119",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1196",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0278127",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030153",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMPTER PHARMACY and WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Adel, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; 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.