NPIMap

Organization Active NPI

Carroll Apothecary, Inc

Doing business as Home Care Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Jefferson, IA
National Provider Identifier
1366435364
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CARROLL APOTHECARY, INC
Doing business as
Home Care Medical Equipment
Practice address
118 N Wilson Ave
Jefferson, IA 50129-2116
Phone
(515) 386-4628
Fax
(515) 386-2247
NPI assigned
Aug 24, 2005
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PHARMACY ASSOCIATES OF CARROLL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Rhonda Hoffman
Title
Manager
Phone
(712) 792-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

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 names 1

  • Home Care Medical Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088285 IA DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Medical Supply Company With Orthotic Personnel 5597844902 Practice locations: Jefferson, IA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Home Care Medical Equipment118 N Wilson Ave, Jefferson, IA 50129-2116(515) 386-4628 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 assignmentParticipating since Nov 23, 2009

National Provider Directory

National Provider Directory
Tax ID family
Carroll Apothecary5 organizations share this tax ID, including this one
Part of
Pharmacy Associates of Carrollinc

Other organizations with this tax ID 4

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

118 N Wilson Ave
Jefferson, IA 50129
Phone (515) 386-4628

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1366435364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N WILSON AVE",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292116",
            "telephone_number": "515-386-4628",
            "fax_number": "515-386-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N WILSON AVE",
            "city": "JEFFERSON",
            "state": "IA",
            "postal_code": "501292116",
            "telephone_number": "515-386-4628",
            "fax_number": "515-386-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL APOTHECARY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMACY ASSOCIATES OF CARROLL, INC",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "712-792-6184"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Care Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jefferson, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.