Foods Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

204 Issued in IA

Legal business name

FOODS INC

Practice address

1208 Prospect Ave
West Des Moines, IA 50265-3525

Phone

(515) 223-4626

Fax

(515) 224-9398

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Morrow, RPH

Title

Pharmacy Director

Phone

(515) 255-8642

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dahl's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1497835300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 PROSPECT AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653525",
            "telephone_number": "515-223-4626",
            "fax_number": "515-224-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 PROSPECT AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653525",
            "telephone_number": "515-223-4626",
            "fax_number": "515-224-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOODS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PHARMACY DIRECTOR",
        "authorized_official_telephone_number": "515-255-8642",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FLU ROSTER",
            "identifier": "I20027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP (ALSO KNOW AS NABP)",
            "identifier": "1604126",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080945",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dahl's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Timothy James Fordyce, D.C.
• Abi Lynn Fortsch, M.A., CFY-SLP

• Community/Retail Pharmacy in West Des Moines, IA
• Providers in West Des Moines, 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 Jul 30, 2014; 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.