Active NPI
Sumpter Pharmacy Inc
- Community/Retail Pharmacy
- Adel, IA
National Provider Identifier
1265526677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1196
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0278127 | Medicaid | IA | |
| 2030153 | Other | PK |
Other names 1
- SUMPTER PHARMACY and WELLNESS
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Adel, IA
- NPI 1275203812
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.