Medicap Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

1295 Issued in IA

Legal business name

MEDICAP PHARMACY

Practice address

702 Montgomery St
Ste B
Decorah, IA 52101-2317

Phone

(563) 382-8765

Fax

(563) 382-1329

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Susan McKone Burks, RPH

Title

Owner

Phone

(563) 382-8765

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1467569038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 MONTGOMERY ST",
            "address_2": "STE B",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 MONTGOMERY ST",
            "address_2": "STE B",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012317",
            "telephone_number": "563-382-8765",
            "fax_number": "563-382-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "MCKONE BURKS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-382-8765",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245110001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1622718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1622718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Foundation for Medical Education & Research
• Amber Lynn McCarville, DDS
• Torie McConnell, DDS
• Lana Wicks McDermott, D.D.S.
• McKone-Burks Inc
• Meehan and Schwartz O D P L C
• James F Meehan, O.D.
• Laurie Meinholz, D.C.
• Tyler C Menke, MD
• Julie Metcalf Cull

• Long Term Care Pharmacy in Decorah, IA
• Providers in Decorah, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.