Organization Active NPI

Reinbeck Pharmacy Inc

Doing business as Reinbeck Pharmacy

  • Community/Retail Pharmacy
  • Reinbeck, IA
National Provider Identifier
1427302660
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1445 Issued in IA
Legal business name
REINBECK PHARMACY INC
Doing business as
Reinbeck Pharmacy
Practice address
401 Main St
Reinbeck, IA 50669-1049
Phone
(319) 788-7445
Fax
(319) 788-7447
NPI assigned
Nov 8, 2012
Last updated
Jan 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Authorized official

Name
Brent BovyNPI 1144719832
Title
President
Phone
(319) 788-7445

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1445 IA Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

401 Main St
Reinbeck, IA 50669-1049

Mailing address

401 Main St
Reinbeck, IA 50669-1049
Phone (319) 788-7445

Other identifiers 1

IdentifierTypeStateIssuer
2138109OtherPK

Other names 1

  • Reinbeck Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130305000424 IA Part B Supplier - Mass Immunization (Roster Biller Only) 5294980876 Practice locations: Reinbeck, IA
O20130306000415 IA DME Supplier - Pharmacy 5294980876 Practice locations: Reinbeck, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2157879Reinbeck Pharmacy, Inc401 Main Street, Reinbeck, IA 50669Certificate of waiverNov 14, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Reinbeck Pharmacy401 Main St, Reinbeck, IA 50669-1049(319) 788-7445 Immunosuppressive Drugs|Nebulizer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or… Accepts assignmentParticipating since Dec 31, 2012

National Provider Directory

National Provider Directory

Locations

401 Main St
Reinbeck, IA 50669
Phone (319) 788-7445

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": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1427302660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "506691049",
            "telephone_number": "319-788-7445",
            "fax_number": "319-788-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "city": "REINBECK",
            "state": "IA",
            "postal_code": "506691049",
            "telephone_number": "319-788-7445",
            "fax_number": "319-788-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINBECK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "BOVY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-788-7445"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1445",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reinbeck Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reinbeck Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reinbeck, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.