Organization Active NPI

Krasko Enterprises Inc

  • Community/Retail Pharmacy
  • Oelwein, IA
National Provider Identifier
1598837387
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
535 Issued in IA
Legal business name
KRASKO ENTERPRISES INC
Practice address
443 S Frederick Ave
Oelwein, IA 50662-2504
Phone
(319) 283-2028
Fax
(319) 283-6653
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Gere Krasko, RPH
Title
Owner Pharmacist
Phone
(319) 283-2028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 535 IA Primary

Addresses

Primary practice location

443 S Frederick Ave
Oelwein, IA 50662-2504

Mailing address

443 S Frederick Ave
Oelwein, IA 50662-2504

Other identifiers 2

IdentifierTypeStateIssuer
0167130MedicaidIA
1611830OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • MEDICAP PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

443 S Frederick Ave
Oelwein, IA 50662
Phone (319) 283-2028

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1598837387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 S FREDERICK AVE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 S FREDERICK AVE",
            "city": "OELWEIN",
            "state": "IA",
            "postal_code": "506622504",
            "telephone_number": "319-283-2028",
            "fax_number": "319-283-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASKO ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KRASKO",
        "authorized_official_first_name": "GERE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "319-283-2028",
        "authorized_official_credential": "RPH"
    },
    "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": "535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167130",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1611830",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oelwein, IA

Sources for this page

  • 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.