Dutchmen Incorporated

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

502 Issued in IA

Legal business name

DUTCHMEN INCORPORATED

Doing business as

Medicap Pharmacy

Practice address

214 S. Main
Osceola, IA 50213

Phone

(641) 342-6557

Fax

(641) 342-6558

NPI assigned

Nov 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Glenn, PHARMD

Title

Pharmacist/Manager

Phone

(641) 342-6557

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1336213859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S. MAIN",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "50213",
            "telephone_number": "641-342-6557",
            "fax_number": "641-342-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 S. MAIN",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "50213",
            "telephone_number": "641-342-6557",
            "fax_number": "641-342-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCHMEN INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "641-342-6557",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006528",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1612438",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michele Marie Evink, MS, PHARMD

• Community/Retail Pharmacy in Osceola, IA
• Providers in Osceola, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.