Organization Active NPI

Vogt Pharmacies Inc

Doing business as Peterson Drug

  • Community/Retail Pharmacy
  • Williamsburg, IA
National Provider Identifier
1356311013
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1606 Issued in IA
Legal business name
VOGT PHARMACIES INC
Doing business as
Peterson Drug
Practice address
514 Elm St
Williamsburg, IA 52361-0360
Phone
(319) 668-1664
Fax
(319) 668-1664
NPI assigned
Jan 25, 2006
Last updated
May 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Mark Vogt
Title
Owner/President/Ao
Phone
(319) 668-1664

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1606 IA Primary

Addresses

Primary practice location

514 Elm St
Williamsburg, IA 52361-0360

Mailing address

PO Box 360
Williamsburg, IA 52361-0360
Phone (319) 668-1664

Other identifiers 1

IdentifierTypeStateIssuer
2176092OtherPK

Other names 1

  • PETERSON DRUG Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kens Pharmacy7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1356311013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523610360",
            "telephone_number": "319-668-1664",
            "fax_number": "319-668-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 ELM ST",
            "city": "WILLIAMSBURG",
            "state": "IA",
            "postal_code": "523610360",
            "telephone_number": "319-668-1664",
            "fax_number": "319-668-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOGT PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "VOGT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/AO",
        "authorized_official_telephone_number": "319-668-1664"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PETERSON DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williamsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.