Active NPI
Niedermann Pharmacy, Inc.
- Community/Retail Pharmacy
- Marshalltown, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- NIEDERMANN PHARMACY, INC.
- Practice address
- 211 W Main St
Marshalltown, IA 50158-5845 - Phone
- (641) 758-3350
- Fax
- (641) 758-3351
- NPI assigned
- Jul 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Niedermann, PHARMD
- Title
- President
- Phone
- (319) 393-4944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
211 W Main St
Marshalltown, IA 50158-5845
Mailing address
1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 393-4944
Other names 1
- Nied's Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210302000889 | IA | Part B Supplier - Pharmacy | 8729314158 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hiawatha, IA; Marshalltown, IA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Niedermann Pharmacy Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Hiawatha, IA
- NPI 1578199816
-
- Long Term Care Pharmacy
- Marshalltown, IA
- NPI 1174358675
-
- Community/Retail Pharmacy
- Monroe, IA
- NPI 1770044315
Locations
1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362
211 W Main St
Marshalltown, IA 50158
Phone (641) 752-3651
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Marshalltown, IA
- NPI 1225824121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702339200000",
"number": "1508545344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 BLAIRS FERRY RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332033",
"telephone_number": "319-393-4944",
"fax_number": "319-393-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 W MAIN ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501585845",
"telephone_number": "641-758-3350",
"fax_number": "641-758-3351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIEDERMANN PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A",
"authorized_official_last_name": "NIEDERMANN",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-393-4944",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Nied's Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nied's Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marshalltown, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.