Active NPI
Reinbeck Pharmacy Inc
Doing business as Reinbeck Pharmacy
- Community/Retail Pharmacy
- Reinbeck, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 1445
- 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, 2022
- 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
- Brent Bovy
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138109 | Other | PK |
Other names 1
- Reinbeck Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2157879 | Reinbeck Pharmacy, Inc | Certificate of waiver | Nov 14, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Reinbeck Pharmacy | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Reinbeck, IA
- NPI 1144719832
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.