One 2 One Sac City LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1601 Issued in IA

Legal business name

ONE 2 ONE SAC CITY LLC

Practice address

514 W Main St
Sac City, IA 50583-1727

Phone

(712) 662-7146

Fax

(712) 662-3226

NPI assigned

Mar 17, 2017

Organization subpart

No

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

Authorized official

Name

Brenda Fowler

Title

RPH

Phone

(712) 662-7146

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Sac City Drug Doing business as

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489708800000",
    "number": "1396286753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505830367",
            "telephone_number": "712-662-7146",
            "fax_number": "712-662-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831727",
            "telephone_number": "712-662-7146",
            "fax_number": "712-662-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE 2 ONE SAC CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "712-662-7146"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168141",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sac City Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sac City Drug Custom Compounding

• All providers in Sac City, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.