P B R Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

648 Issued in IA

Legal business name

P B R INC

Doing business as

Med-Equip Pharmacy #0

Practice address

141 S Central Ave
Hartley, IA 51346-1412

Phone

(712) 728-2165

Fax

(712) 728-2805

NPI assigned

Aug 22, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wally J. Tschopp, RPH

Title

Owner

Phone

(712) 728-2165

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Med-Equip Pharmacy #0 Doing business as

Tax ID family

Med-Equip3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• P.B.R., Inc.

  dba Med-Equip Pharmacy #7

  • Pharmacy
  • Spirit Lake, IA
  • NPI 1891801627
  NPD tax ID
• PBR Inc

  dba Med-Equip

  • Durable Medical Equipment & Medical Supplies
  • Spencer, IA
  • NPI 1790723237
  NPD tax ID

Locations

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1508972316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513460028",
            "telephone_number": "712-728-2165",
            "fax_number": "712-728-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 S CENTRAL AVE",
            "city": "HARTLEY",
            "state": "IA",
            "postal_code": "513461412",
            "telephone_number": "712-728-2165",
            "fax_number": "712-728-2805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P B R INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TSCHOPP",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-728-2165",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "648",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797122200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8533350",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0062695",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "648",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1603895",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Equip Pharmacy #0",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tadd Lee Knobloch, D.C,
• Melinda Kubesh
• Nancy Howe, Arnp, PC
• P B R Inc (Med-Equip Homecare Pharmacy #3)
• P B R Inc (Med-Equip)
• Donna Lynn Rosenboom, PT
• Teresa Noelle Sampson, PT
• Sanford Health Network (Sanford Clinic Hartley)
• Schierholz Chiropractic and Acupuncture PC
• Andrew H Schierholz, D.C.

• Pharmacy in Hartley, IA
• Providers in Hartley, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.