Oakland Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

159 Issued in IA

Legal business name

OAKLAND PHARMACY INC

Doing business as

Oakland Pharmacy

Practice address

601 Pioneer Ave
Oakland, IA 51560

Phone

(712) 482-3015

NPI assigned

Dec 18, 2006

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael FullerNPI 1003480575

Title

President

Phone

(515) 321-7644

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Oakland Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 4

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.

• Michael Fuller, PHARMD

  • Pharmacist
  • Des Moines, IA
  • NPI 1003480575
  NPD Authorized official
• Kristin K Fox, RPH

  • Pharmacist
  • Oakland, IA
  • NPI 1376348128
  NPD (past)
• David P Perkins, RPH

  • Pharmacist
  • Oakland, IA
  • NPI 1982471280
  NPD (past)
• William Robert Robinson, RPH

  • Pharmacist
  • Oakland, IA
  • NPI 1265124424
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1437212149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "515600637",
            "telephone_number": "712-482-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PIONEER AVE",
            "city": "OAKLAND",
            "state": "IA",
            "postal_code": "51560",
            "telephone_number": "712-482-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-321-7644"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "159",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1081174",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oakland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J. Lenaghan
• John Llamoso, MD
• Carl Floyd Maass
• Oakland Healthcare Management
• Oakland Heights
• Opco Oakland, Ia, LLC (Oakland Manor)
• Opco Oakland, Ia, LLC (Oakland Heights Assisted Living)
• David P Perkins, RPH
• Charles Pigneri, MD
• Pottawattamie County Sports and Family Chiropractic (Pott. County Sports and Family Chiropractic)

• Community/Retail Pharmacy in Oakland, IA
• Providers in Oakland, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.