Osky Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1538 Issued in IA

Legal business name

OSKY PHARMACY LLC

Practice address

504 A Ave W
Oskaloosa, IA 52577-2708

Phone

(641) 673-8486

Fax

(641) 673-8698

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Rajan Devan

Title

Pic

Phone

(641) 673-8486

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• OSKY PHARMACY Doing business as

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1376926592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 A AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772708",
            "telephone_number": "641-673-8486",
            "fax_number": "641-673-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 A AVE W",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772708",
            "telephone_number": "641-673-8486",
            "fax_number": "641-673-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSKY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "DEVAN",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "641-673-8486"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407399",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153338",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSKY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew D. Olson, M.D.
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• Oskaloosa CSD
• Oskaloosa Vision Center Inc
• Lindsay Beth Overton, MSLP
• Nicole Palmquist, RDN, LD
• Kyler Michael Parkinson, CRNA
• Kim Alan Pearson, NURSE ANESTHETIST
• Allan E Peterson, M.D.

• Community/Retail Pharmacy in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.