Devaney Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16654 Issued in IA

Legal business name

DEVANEY PHARMACY, LLC

Practice address

156 W Main St
Wyoming, IA 52362-7748

Phone

(563) 488-3322

NPI assigned

Dec 2, 2014

Organization subpart

No

Name

Thomas Devaney, RPH

Title

Owner

Phone

(319) 480-2076

• Devaney Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2014.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1356748503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14968 BUFFALO RD",
            "city": "ANAMOSA",
            "state": "IA",
            "postal_code": "522057613",
            "telephone_number": "319-480-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 W MAIN ST",
            "city": "WYOMING",
            "state": "IA",
            "postal_code": "523627748",
            "telephone_number": "563-488-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVANEY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "DEVANEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-480-2076",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "16654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devaney Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Wyoming, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.