Organization Active NPI

Dutch Mill Corporation

Doing business as Dutch Mill Pharmacy

  • Community/Retail Pharmacy
  • Orange City, IA
National Provider Identifier
1568498947
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
445 Issued in IA
Legal business name
DUTCH MILL CORPORATION
Doing business as
Dutch Mill Pharmacy
Practice address
104 Albany Ave NE
Orange City, IA 51041-1423
Phone
(712) 737-4844
Fax
(712) 737-8698
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Brent Plender
Title
Pharmacist
Phone
(712) 737-4844

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 445 IA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

104 Albany Ave NE
Orange City, IA 51041-1423

Mailing address

104 Albany Ave NE
Orange City, IA 51041-1423
Phone (712) 737-4844

Other identifiers 2

IdentifierTypeStateIssuer
2026198OtherPK
0048736MedicaidIA

Other names 1

  • DUTCH MILL PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930013954 IA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1456479831 Practice locations: Orange City, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Dutch Mill Pharmacy104 Albany Ave NE, Orange City, IA 51041-1423(712) 737-4844 Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Dutch Mill Corporation3 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.

Locations

104 Albany Ave NE
Orange City, IA 51041
Phone (712) 737-4844

Practitioners & affiliated clinicians

Practitioners 1

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": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1568498947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ALBANY AVE NE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411423",
            "telephone_number": "712-737-4844",
            "fax_number": "712-737-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ALBANY AVE NE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411423",
            "telephone_number": "712-737-4844",
            "fax_number": "712-737-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUTCH MILL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "PLENDER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "712-737-4844"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "445",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026198",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048736",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DUTCH MILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.