C R Pharmacy Service Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

C R PHARMACY SERVICE INC

Practice address

474 First Ave
Carepro Home Medical
Coralville, IA 52241

Phone

(319) 298-0953

NPI assigned

Jul 9, 2008

Organization subpart

Yes

Parent organization

C R PHARMACY SERVICE INCAs reported in NPPES

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

Authorized official

Name

Mrs. Michelle M. Jensen

Title

Ceo

Phone

(319) 363-4554

Specialties & licenses 1

Addresses

Other names 1

• CarePro Home Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• C R Pharmacy Service Inc

  • Oxygen Equipment & Supplies (DME)
  • Davenport, IA
  • NPI 1992126551

  9234022260

  Same PAC ID
• C R Pharmacy Service Inc

  • Oxygen Equipment & Supplies (DME)
  • Cedar Rapids, IA
  • NPI 1992755615

  9234022260

  Same PAC ID

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

Tax ID family

C R Pharmacy Service Inc4 organizations share this tax ID, including this one

Part of

C R Pharmacy Service Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• C R Pharmacy Service Inc

  • Specialty Pharmacy
  • Cedar Rapids, IA
  • NPI 1043307705
  NPD tax ID
• C R Pharmacy Service Inc

  • Oxygen Equipment & Supplies (DME)
  • Davenport, IA
  • NPI 1992126551
  NPD tax ID
• C R Pharmacy Service Inc

  • Oxygen Equipment & Supplies (DME)
  • Cedar Rapids, IA
  • NPI 1992755615
  NPD tax ID

Member organizations 1

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

• C R IV Service Inc

  • Home Health Agency
  • Cedar Rapids, IA
  • NPI 1477640183

  Member Of

  NPD member

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1487817532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 FIRST AVE",
            "address_2": "CAREPRO HOME MEDICAL",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-298-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 FIRST AVE",
            "address_2": "CAREPRO HOME MEDICAL",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-298-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C R PHARMACY SERVICE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "C R PHARMACY SERVICE INC",
        "enumeration_date": "2008-07-09",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-363-4554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePro Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Burham, MS
• Mollie Burke, PHD HSP
• Nicholas Ryan Butler, MD
• Cynthia Ellen Butters, PHARMACIST
• Sara L Butterworth, O.D.
• Jacqueline Rose Caffarelli
• Laura Cain-Shreiner
• Molly Ann Camacho, P.T.
• Peter L Campie, TLMFT
• Care Dental PLC

• Oxygen Equipment & Supplies (DME) in Coralville, IA
• Providers in Coralville, IA by specialty
• Oxygen Equipment & Supplies (DME) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.