NPIMap

Organization Active NPI

Niedermann Pharmacy Inc

  • Long Term Care Pharmacy
  • Hiawatha, IA
National Provider Identifier
1578199816
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NIEDERMANN PHARMACY INC
Doing business as
blairs ferry family pharmacy
Practice address
1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone
(319) 393-4944
Fax
(319) 393-6655
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Doug Niedermann, PHARMD
Title
President/Pic
Phone
(319) 393-4944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033

Mailing address

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 393-4944

Other names 1

  • blairs ferry family pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Niedermann Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1578199816",
    "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": "1790 BLAIRS FERRY RD",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332033",
            "telephone_number": "319-393-4944",
            "fax_number": "319-393-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIEDERMANN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "NIEDERMANN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "319-393-4944",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "blairs ferry family pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.