Organization Active NPI

Frederick C & Ann M Marcalus

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Jewell, IA
National Provider Identifier
1306915400
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
99 Issued in IA
Legal business name
FREDERICK C & ANN M MARCALUS
Doing business as
Family Pharmacy
Practice address
633 Main St
Jewell, IA 50130-0070
Phone
(515) 827-5134
Fax
(515) 827-5776
NPI assigned
Nov 6, 2006
Last updated
Aug 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Authorized official

Name
Ann Marcalus
Title
Pharmacist
Phone
(515) 827-5134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 99 IA Primary

Addresses

Primary practice location

633 Main St
Jewell, IA 50130-0070

Mailing address

633 Main St
PO Box 70
Jewell, IA 50130-0070
Phone (515) 827-5134

Other identifiers 1

IdentifierTypeStateIssuer
0147173MedicaidIA

Other names 1

  • FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

633 Main St
Jewell, IA 50130
Phone (515) 827-5134

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1306915400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MAIN ST",
            "address_2": "PO BOX 70",
            "city": "JEWELL",
            "state": "IA",
            "postal_code": "501300070",
            "telephone_number": "515-827-5134",
            "fax_number": "515-827-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MAIN ST",
            "city": "JEWELL",
            "state": "IA",
            "postal_code": "501300070",
            "telephone_number": "515-827-5134",
            "fax_number": "515-827-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK C & ANN M MARCALUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "MARCALUS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "515-827-5134"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "99",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0147173",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jewell, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.