NPIMap

Hartig Drug Co Corp

Organization Active NPI Community/Retail Pharmacy · Bellevue, IA

NPI 1417566191 · NPPES record last updated Jul 28, 2020

Key facts

NPI
1417566191
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
HARTIG DRUG CO CORP
Practice address
115 State St
Bellevue, IA 52031-1307
Phone
(563) 872-4259
Fax
(563) 872-4837
NPI assigned
Jul 28, 2020
Organization subpart
No

Authorized official

Name
Charles Hartig
Title
Ceo
Phone
(563) 588-8700

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 23

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 23

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hartig Drug Co #34
115 State St, Bellevue, IA 52031-1307 · (563) 872-4259		 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgical Dressings|Diabetic Sho… Accepts assignment
Participating since Nov 1, 2007

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Thornton Manor Nursing and Care Center
Lansing, IA · CCN 165259		 Skilled nursing facility Adp of the SNF Feb 7, 2020

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040331000394 IA Part B Supplier - Mass Immunization (Roster Biller Only) 2365434412 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dubuque, IA
O20201217002387 IA DME Supplier - Pharmacy 2365434412 Practice locations: Bellevue, IA

National Provider Directory

Tax ID family
Hartig Homecare Nursing (24 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Yes

Addresses

Primary practice location

115 State St
Bellevue, IA 52031-1307

Mailing address

703 Main St Ste a
Dubuque, IA 52001-6814
Phone (563) 588-8700

Other providers in Bellevue, IA

All providers in Bellevue, IA · Community/Retail Pharmacy in Iowa

Sources for this page

Verify at the official NPI Registry.