NPIMap

Organization Active NPI

Prescription Shoppe, Inc.

Doing business as Nightingale Drug

  • Long Term Care Pharmacy
  • Dyersville, IA
National Provider Identifier
1275234692
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PRESCRIPTION SHOPPE, INC.
Doing business as
Nightingale Drug
Practice address
1020 12TH Ave SE
Dyersville, IA 52040-1964
Phone
(563) 875-7455
NPI assigned
Mar 13, 2023
Last updated
Mar 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Eric Nightingale
Title
Treasurer
Phone
(702) 780-9548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1020 12TH Ave SE
Dyersville, IA 52040-1964

Mailing address

1020 12TH Ave SE
Dyersville, IA 52040-1964
Phone (563) 875-7455

Other identifiers 1

IdentifierTypeStateIssuer
0438804MedicaidIA

Other names 1

  • Nightingale Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prescription Shoppe Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1275234692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 12TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401964",
            "telephone_number": "563-875-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 12TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401964",
            "telephone_number": "563-875-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-780-9548"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0438804",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.