Active NPI
Booth Pharmacy Inc
- Long Term Care Pharmacy
- Hawarden, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- BOOTH PHARMACY INC
- Practice address
- 903 Central Ave
Hawarden, IA 51023-2233 - Phone
- (712) 551-2374
- Fax
- (712) 551-1590
- NPI assigned
- Jul 15, 2026
- Last updated
- Jul 15, 2026
- Organization subpart
- Yes
- Parent organization
- BOOTH PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matt Hummel
- Title
- Owner
- Phone
- (712) 551-2374
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
903 Central Ave
Hawarden, IA 51023-2233
Mailing address
PO Box 233
Hawarden, IA 51023-0233
Phone (712) 551-2374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048975 | Medicaid | IA |
National Provider Directory
National Provider Directory- Tax ID family
- Booth Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- Hawarden, IA
- NPI 1447334701
-
- Community/Retail Pharmacy
- Hawarden, IA
- NPI 1952343485
Practitioners & affiliated clinicians
Practitioners 2
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
- Hawarden, IA
- NPI 1548920077
-
- Pharmacist
- Hawarden, IA
- NPI 1932928850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1396665949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 233",
"city": "HAWARDEN",
"state": "IA",
"postal_code": "510230233",
"telephone_number": "712-551-2374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 CENTRAL AVE",
"city": "HAWARDEN",
"state": "IA",
"postal_code": "510232233",
"telephone_number": "712-551-2374",
"fax_number": "712-551-1590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOOTH PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BOOTH PHARMACY INC",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "HUMMEL",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "712-551-2374"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0048975",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawarden, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.