Active NPI
Pocahontas Pharmacy Inc
- Pharmacy
- Pocahontas, IA
National Provider Identifier
1285629618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- POCAHONTAS PHARMACY INC
- Practice address
- 701 W Elm Ave
Pocahontas, IA 50574-1439 - Phone
- (712) 335-3119
- Fax
- (712) 335-4145
- NPI assigned
- Sep 12, 2005
- 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
- Pat Sturtz, R.PH
- Title
- Owner/Pharmacist
- Phone
- (712) 335-3119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | IA | Primary |
Addresses
Primary practice location
701 W Elm Ave
Pocahontas, IA 50574-1439
Mailing address
701 W Elm Ave
Pocahontas, IA 50574-1439
Phone (712) 335-3119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0224293 | Medicaid | IA |
National Provider Directory
National Provider DirectoryLocations
701 W Elm Ave
Pocahontas, IA 50574
Phone (712) 335-3119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1285629618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W ELM AVE",
"city": "POCAHONTAS",
"state": "IA",
"postal_code": "505741439",
"telephone_number": "712-335-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W ELM AVE",
"city": "POCAHONTAS",
"state": "IA",
"postal_code": "505741439",
"telephone_number": "712-335-3119",
"fax_number": "712-335-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POCAHONTAS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "STURTZ",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "OWNER/PHARMACIST",
"authorized_official_telephone_number": "712-335-3119",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0224293",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.