Organization Active NPI

Allimont Pharmacies Inc

Doing business as Greene Pharmacy

  • Community/Retail Pharmacy
  • Greene, IA
National Provider Identifier
1386758357
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
563 Issued in IA
Legal business name
ALLIMONT PHARMACIES INC
Doing business as
Greene Pharmacy
Practice address
106 E Traer St
Greene, IA 50636-7702
Phone
(641) 816-4210
Fax
(641) 816-5847
NPI assigned
Aug 18, 2006
Last updated
Mar 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Joan Mond, RPH
Title
Pres
Phone
(319) 267-2505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 563 IA Primary

Addresses

Primary practice location

106 E Traer St
Greene, IA 50636-7702

Mailing address

PO Box 584
Greene, IA 50636-0584

Other identifiers 2

IdentifierTypeStateIssuer
1172148MedicaidIA
1616626OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GREENE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarksville Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1386758357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 584",
            "city": "GREENE",
            "state": "IA",
            "postal_code": "506360584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E TRAER ST",
            "city": "GREENE",
            "state": "IA",
            "postal_code": "506367702",
            "telephone_number": "641-816-4210",
            "fax_number": "641-816-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIMONT PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MOND",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "319-267-2505",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1172148",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1616626",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greene, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.