Organization Active NPI

Pocahontas Pharmacy Inc

  • Pharmacy
  • Pocahontas, IA
National Provider Identifier
1285629618
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
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

Updated by the provider on Oct 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0224293MedicaidIA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.