Active NPI
TRP Inc
- Community/Retail Pharmacy
- Davenport, IA
National Provider Identifier
1407825136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 50
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1604897 | Other | IA | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MEDICINE SHOPPE PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.