Active NPI
S-S Pharmacy, Inc.
- Long Term Care Pharmacy
- Council Bluffs, IA
National Provider Identifier
1407911837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- S-S PHARMACY, INC.
- Doing business as
- UNION PHARMACY
- Practice address
- 235 W Broadway
Council Bluffs, IA 51503-9004 - Phone
- (712) 328-3344
- NPI assigned
- Dec 26, 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
- William Shipley, PHARMD
- Title
- Pic
- Phone
- (712) 328-3344
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
235 W Broadway
Council Bluffs, IA 51503-9004
Mailing address
235 W Broadway
Council Bluffs, IA 51503-9004
Phone (712) 328-3344
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026167 | Other | PK | |
| 0477364 | Medicaid | IA |
Other names 1
- UNION PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231019000744 | IA | Part B Supplier - Pharmacy | 4486860640 | Practice locations: Council Bluffs, IA |
National Provider Directory
National Provider DirectoryLocations
235 W Broadway
Council Bluffs, IA 51503
Phone (712) 328-3344
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Council Bluffs, IA
- NPI 1518556455
-
- Pharmacist
- Council Bluffs, IA
- NPI 1487523098
-
- Pharmacist
- Council Bluffs, IA
- NPI 1417140625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561420800000",
"number": "1407911837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039004",
"telephone_number": "712-328-3344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039004",
"telephone_number": "712-328-3344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S-S PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2019-06-25",
"status": "A",
"authorized_official_last_name": "SHIPLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "712-328-3344",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2026167",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0477364",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UNION PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "UNION PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.