Active NPI
Phil's Pharmacy, LLC
Doing business as Phil's Pharmacy
- Pharmacist
- Reinbeck, IA
National Provider Identifier
1376516435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1182
- Legal business name
- PHIL'S PHARMACY, LLC
- Doing business as
- Phil's Pharmacy
- Practice address
- 401 Main St
Reinbeck, IA 50669-1049 - Phone
- (319) 788-7445
- Fax
- (319) 788-7447
- NPI assigned
- Feb 9, 2006
- Last updated
- Dec 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phil Colbert, R.PH.
- Title
- Pharmacist in Charge
- Phone
- (319) 788-7445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1182 | IA | Primary |
Addresses
Primary practice location
401 Main St
Reinbeck, IA 50669-1049
Mailing address
401 Main St
Reinbeck, IA 50669-1049
Phone (319) 788-7445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0260307 | Medicaid | IA | |
| 1621247 | Other | IA | NABP/NCPDP |
Other names 1
- Phil's Pharmacy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Reinbeck, IA
- NPI 1144719832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1376516435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MAIN ST",
"city": "REINBECK",
"state": "IA",
"postal_code": "506691049",
"telephone_number": "319-788-7445",
"fax_number": "319-788-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MAIN ST",
"city": "REINBECK",
"state": "IA",
"postal_code": "506691049",
"telephone_number": "319-788-7445",
"fax_number": "319-788-7447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHIL'S PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "COLBERT",
"authorized_official_first_name": "PHIL",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "319-788-7445",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "IA",
"license": "1182",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0260307",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP/NCPDP",
"identifier": "1621247",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Phil's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reinbeck, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.