Organization Active NPI

Bloemke Pharmacy

  • Community/Retail Pharmacy
  • Belmond, IA
National Provider Identifier
1346376530
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
632 Issued in IA
Legal business name
BLOEMKE PHARMACY
Practice address
443 E Main St
Belmond, IA 50421-1223
Phone
(641) 444-3451
Fax
(641) 444-7047
NPI assigned
Feb 24, 2007
Last updated
Oct 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Mrs. Terri Marie Havens, RPH
Title
Pharmacy Manager
Phone
(641) 444-3451

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 632 IA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

443 E Main St
Belmond, IA 50421-1223

Mailing address

443 E Main St
Belmond, IA 50421-1223
Phone (641) 444-3451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930063898 IA DME Supplier - Pharmacy 2062539919 Practice locations: Belmond, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Bloemke Pharmacy443 E Main St, Belmond, IA 50421-1223(641) 444-3451 Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

443 E Main St
Belmond, IA 50421
Phone (515) 444-3451

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1346376530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 E MAIN ST",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211223",
            "telephone_number": "641-444-3451",
            "fax_number": "641-444-7047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 E MAIN ST",
            "city": "BELMOND",
            "state": "IA",
            "postal_code": "504211223",
            "telephone_number": "641-444-3451",
            "fax_number": "641-444-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOEMKE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "HAVENS",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "641-444-3451",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "632",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmond, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.