Organization Active NPI

Phil's Pharmacy, LLC

Doing business as Phil's Pharmacy

  • Pharmacist
  • Reinbeck, IA
National Provider Identifier
1376516435
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1182 Issued in IA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0260307MedicaidIA
1621247OtherIANABP/NCPDP

Other names 1

  • Phil's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.