NPIMap

Organization Active NPI

Dykstra Pharmacy Co

Doing business as Hull Pharmacy

  • Pharmacist
  • Hull, IA
National Provider Identifier
1477660512
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
14742 Issued in IA
Legal business name
DYKSTRA PHARMACY CO
Doing business as
Hull Pharmacy
Practice address
1044 Main Street
Box 309
Hull, IA 51239
Phone
(712) 439-1611
Fax
(712) 439-1612
NPI assigned
Aug 24, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Richard K Dykstra, RPH
Title
Owner
Phone
(712) 439-1611

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 14742 IA Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X 14742 IA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 14742 IA
Long Term Care Pharmacy 3336L0003X 14742 IA

Addresses

Primary practice location

1044 Main Street
Box 309
Hull, IA 51239

Mailing address

1044 Main St
Box 309
Hull, IA 51238
Phone (712) 439-1611

Other identifiers 1

IdentifierTypeStateIssuer
0081661MedicaidIA

Other names 1

  • Hull Pharmacy Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1477660512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 MAIN ST",
            "address_2": "BOX 309",
            "city": "HULL",
            "state": "IA",
            "postal_code": "51238",
            "telephone_number": "712-439-1611",
            "fax_number": "712-439-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 MAIN STREET",
            "address_2": "BOX 309",
            "city": "HULL",
            "state": "IA",
            "postal_code": "51239",
            "telephone_number": "712-439-1611",
            "fax_number": "712-439-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYKSTRA PHARMACY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-439-1611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "14742",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IA",
            "license": "14742",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IA",
            "license": "14742",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "14742",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081661",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hull Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hull, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.