NPIMap

Organization Active NPI

Pharmacy Services, Inc.

Doing business as Lutz Pharmacy

  • Community/Retail Pharmacy
  • Altoona, IA
National Provider Identifier
1407876204
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
40 Issued in IA
Legal business name
PHARMACY SERVICES, INC.
Doing business as
Lutz Pharmacy
Practice address
120 8TH St SE
Altoona, IA 50009-1950
Phone
(515) 967-4213
Fax
(515) 967-3402
NPI assigned
Jul 21, 2006
Last updated
Oct 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Authorized official

Name
Mr. Eugene Martin Lutz, R.PH.NPI 1730102377
Title
President
Phone
(515) 967-4213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 40 IA Primary
Long Term Care Pharmacy 3336L0003X 40 IA

Addresses

Primary practice location

120 8TH St SE
Altoona, IA 50009-1950

Mailing address

120 8TH St SE
Altoona, IA 50009-1950
Phone (515) 967-4213

Other identifiers 3

IdentifierTypeStateIssuer
1604568OtherNCPDP NUMBER
1407876204MedicaidIA
40OtherIAPHARMACY LICENSE NUMBER

Other names 1

  • Lutz Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

120 8th St SE
Altoona, IA 50009
Phone (515) 967-4213

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1407876204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091950",
            "telephone_number": "515-967-4213",
            "fax_number": "515-967-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 8TH ST SE",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091950",
            "telephone_number": "515-967-4213",
            "fax_number": "515-967-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-967-4213",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "40",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "40",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "1604568",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407876204",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "40",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutz Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.