Pharmerica Midwest LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

742 Issued in IA

Legal business name

PHARMERICA MIDWEST LLC

Doing business as

PharMerica

Practice address

2901 99TH St
Urbandale, IA 50322-3840

Phone

(515) 331-7756

Fax

(515) 331-7760

NPI assigned

Aug 11, 2006

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

PHARMERICA CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Allison L. Brown

Title

Secretary

Phone

(502) 630-7429

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PharMerica Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Pharmerica2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmerica Midwest LLC

  dba PharMerica

  • Long Term Care Pharmacy
  • Coralville, IA
  • NPI 1184634347
  NPD tax ID

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  dba PharMerica

  • Long Term Care Pharmacy
  • West Henrietta, NY
  • NPI 1407395270

  Member Of

  NPD member
• Pharmerica Institutional Pharmacy Services LLC

  dba PharMerica

  • Long Term Care Pharmacy
  • Concord, NH
  • NPI 1215047238

  Member Of

  NPD member
• Walgreen Co

  dba Walgreens #07319

  • Pharmacy
  • Adrian, MI
  • NPI 1487669529

  Member Of

  NPD member

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Pharmerica Institutional Pharmacy Services LLC

  dba PharMerica

  • Long Term Care Pharmacy
  • Concord, NH
  • NPI 1215047238

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1336150580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CORPOREX PARK DR",
            "address_2": "STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191125",
            "telephone_number": "813-318-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 99TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223840",
            "telephone_number": "515-331-7756",
            "fax_number": "515-331-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMERICA MIDWEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA CORPORATION",
        "enumeration_date": "2006-08-11",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447425",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Peterson
• Anastasia Leigh Peterson, PA-C
• Ellen Peterson, RPH
• Deborah Lynn Pfeiffer, MSW, LISW, LMHP
• Alex Phan, DDS
• Megan E Phillips
• Steven Joseph Phillips, M.D.
• Ron J Pick, DO
• Stephen Allen Picken
• Cory B Pittman, MD

• Long Term Care Pharmacy in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.