Active NPI
Frederick C & Ann M Marcalus
Doing business as Family Pharmacy
- Community/Retail Pharmacy
- Jewell, IA
National Provider Identifier
1306915400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 99
- 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, 2011
- 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
- Ann Marcalus
- Title
- Pharmacist
- Phone
- (515) 827-5134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0147173 | Medicaid | IA |
Other names 1
- FAMILY PHARMACY
National Provider Directory
National Provider DirectoryLocations
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
- Laurie Andrews, DPT, IBCLC
- Baby Steps Therapy, PLLC
- Carmelita Balderas
- City of Jewell (Jewell Fire and Rescue)
- Nicole Lynn Ferguson, D.C.
- Hamilton Chiropractic LLC
- Hamilton County Public Hospital (Hamilton Hospital Jewell Clinic)
- Hamilton County Public Hospital (Van Diest Medical Center Jewell Clinic)
- Molly Rae Hamilton, DC
- Jewell Family Dentistry
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.