Organization Active NPI

Night Inc

Doing business as Nightingale Drug

  • Community/Retail Pharmacy
  • Dubuque, IA
National Provider Identifier
1407909153
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NIGHT INC
Doing business as
Nightingale Drug
Practice address
2541 Central Ave
Dubuque, IA 52001
Phone
(563) 556-1493
Fax
(563) 556-1494
NPI assigned
Jan 18, 2007
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Eric Nightingale
Title
Treasurer
Phone
(702) 780-9548

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Pharmacist 183500000X 1234 IA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2541 Central Ave
Dubuque, IA 52001

Mailing address

1020 12TH Ave SE
Dyersville, IA 52040-1964
Phone (563) 875-7455

Other identifiers 1

IdentifierTypeStateIssuer
0419929MedicaidIA

Other names 1

  • Nightingale Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041130000383 IA Part B Supplier - Mass Immunization (Roster Biller Only) 4688639875 Practice locations: Dubuque, IA

National Provider Directory

National Provider Directory

Locations

2541 Central Ave
Dubuque, IA 52001
Phone (563) 556-1493

Practitioners & affiliated clinicians

Practitioners 5

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1407909153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 12TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401964",
            "telephone_number": "563-875-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 CENTRAL AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "52001",
            "telephone_number": "563-556-1493",
            "fax_number": "563-556-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-780-9548"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "1234",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0419929",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.