Organization Active NPI

TRP Inc

  • Community/Retail Pharmacy
  • Davenport, IA
National Provider Identifier
1407825136
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50 Issued in IA
Legal business name
TRP INC
Practice address
3002 Brady St
Davenport, IA 52803-1213
Phone
(563) 322-5973
Fax
(563) 324-9029
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Rex Tuttle
Title
Owner/RPH
Phone
(563) 322-5973

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 50 IA Primary

Addresses

Primary practice location

3002 Brady St
Davenport, IA 52803-1213

Mailing address

3002 Brady St
Davenport, IA 52803-1213
Phone (563) 322-5973

Other identifiers 1

IdentifierTypeStateIssuer
1604897OtherIANCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MEDICINE SHOPPE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3002 Brady St
Davenport, IA 52803
Phone (563) 322-5973

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1407825136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031213",
            "telephone_number": "563-322-5973",
            "fax_number": "563-324-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528031213",
            "telephone_number": "563-322-5973",
            "fax_number": "563-324-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "TUTTLE",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "OWNER/RPH",
        "authorized_official_telephone_number": "563-322-5973"
    },
    "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": "50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1604897",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.