Bellevue Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

494 Issued in IA

Legal business name

BELLEVUE PHARMACY INC

Practice address

115 State St
Bellevue, IA 52031-1307

Phone

(563) 872-4259

Fax

(563) 872-4837

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Patricia McClimon, RN

Title

Manager

Phone

(563) 872-4259

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1295842839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 STATE ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311307",
            "telephone_number": "563-872-4259",
            "fax_number": "563-872-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STATE ST",
            "city": "BELLEVUE",
            "state": "IA",
            "postal_code": "520311307",
            "telephone_number": "563-872-4259",
            "fax_number": "563-872-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "MCCLIMON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "563-872-4259",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "494",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "494",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1611032",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076257",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Thomas Anderson, DDS PC
• Armstrong Psychiatric Services PLLC
• Bellevue Community School District
• Joshua James Bird, MA
• Body and Brain Therapy and Wellness, PLLC
• Lindsay Boyer
• Candice Chaloupka, LMHC
• Ashley Colleen Cleary, ARNP

• All providers in Bellevue, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.