Active NPI
Krasko Enterprises Inc
- Community/Retail Pharmacy
- Oelwein, IA
National Provider Identifier
1598837387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 535
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167130 | Medicaid | IA | |
| 1611830 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names 1
- MEDICAP PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.