Carroll Apothecary, Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Jefferson, IA
NPI 1366435364 · NPPES record last updated Mar 28, 2008
Key facts
- NPI
- 1366435364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CARROLL APOTHECARY, INC
- Practice address
- 118 N Wilson Ave
Jefferson, IA 50129-2116 - Phone
- (515) 386-4628
- Fax
- (515) 386-2247
- NPI assigned
- Aug 24, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- PHARMACY ASSOCIATES OF CARROLL, INC
Authorized official
- Name
- Rhonda Hoffman
- Title
- Manager
- Phone
- (712) 792-6184
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 4
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Home Care Medical Equipment |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manua… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088285 | IA | DME Supplier - Medical Supply Company With Respiratory Therapist |
5597844902 | Practice locations: Jefferson, IA |
National Provider Directory
- Tax ID family
- Carroll Apothecary Inc
- Part of
- Pharmacy Assoc Carroll Inc
Locations
118 N Wilson Ave
Jefferson, IA 50129
Phone (515) 386-4628
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
118 N Wilson Ave
Jefferson, IA 50129-2116
Mailing address
118 N Wilson Ave
Jefferson, IA 50129-2116
Phone (515) 386-4628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230292 | Medicaid | IA |
Other names
- Home Care Medical Equipment
Other providers in Jefferson, IA
- Madisyn Behrens
- William L Brenny
- Terry L Brown
- John Bryan Brunow
- Mark Francis Buettner
- Maribel Castellanos
- Centers for Long Term Care of Iowa
- Central Iowa Family Eyecare PLLC
- Columba Chukwubuikem Chukwuka
- Julie W. Clark
All providers in Jefferson, IA · Durable Medical Equipment & Medical Supplies in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.