Organization Active NPI

Donlon Drug, Inc.

Doing business as Donlon Pharmacy

  • Long Term Care Pharmacy
  • Decorah, IA
National Provider Identifier
1366894560
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
1495 Issued in IA
Legal business name
DONLON DRUG, INC.
Doing business as
Donlon Pharmacy
Practice address
201 W Water St
Decorah, IA 52101-1727
Phone
(563) 382-3929
Fax
(563) 382-9035
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Matthew MakerNPI 1235629163
Title
Owner
Phone
(563) 382-3929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 1495 IA Primary

Addresses

Primary practice location

201 W Water St
Decorah, IA 52101-1727

Mailing address

201 W Water St
Decorah, IA 52101-1727
Phone (563) 382-3929

Other identifiers 2

IdentifierTypeStateIssuer
0111944MedicaidIA
2161999OtherPK

Other names 1

  • Donlon Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

201 W Water St
Decorah, IA 52101
Phone (563) 382-3929

Practitioners & affiliated clinicians

Practitioners 2

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": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1366894560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W WATER ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011727",
            "telephone_number": "563-382-3929",
            "fax_number": "563-382-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W WATER ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011727",
            "telephone_number": "563-382-3929",
            "fax_number": "563-382-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONLON DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "MAKER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-382-3929"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111944",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2161999",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donlon Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decorah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.