NPIMap

Organization Active NPI

Mahaska Drug 'Long-Term Care'

  • Long Term Care Pharmacy
  • Oskaloosa, IA
National Provider Identifier
1568021335
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MAHASKA DRUG 'LONG-TERM CARE'
Practice address
205 N E St
Oskaloosa, IA 52577-2016
Phone
(641) 673-3439
Fax
(641) 673-3945
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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

Authorized official

Name
Jane Nicholson, RPHNPI 1760013692
Title
Pharmacist
Phone
(641) 673-3439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

205 N E St
Oskaloosa, IA 52577-2016

Mailing address

205 N E St
Oskaloosa, IA 52577-2016
Phone (641) 673-3439

Other names 2

  • Mahaska Drug 'Lone-Term Care' Doing business as
  • Mahaska Drug 'Long-Term Care' Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668211200000",
    "number": "1568021335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N E ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772016",
            "telephone_number": "641-673-3439",
            "fax_number": "641-673-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N E ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772016",
            "telephone_number": "641-673-3439",
            "fax_number": "641-673-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHASKA DRUG 'LONG-TERM CARE'",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "641-673-3439",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahaska Drug 'Lone-Term Care'",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mahaska Drug 'Long-Term Care'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2022; 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.