Organization Active NPI

Nishna Valley Pharmacy

  • Community/Retail Pharmacy
  • Shenandoah, IA
National Provider Identifier
1609936962
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
156 Issued in IA
Legal business name
NISHNA VALLEY PHARMACY
Practice address
1208 W Nishna Rd
Shenandoah, IA 51601-2116
Phone
(712) 246-3440
Fax
(712) 246-2811
NPI assigned
Dec 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Warren A Narducci, PHARM.D.
Title
President
Phone
(712) 246-3440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 156 IA
Community/Retail Pharmacy 3336C0003X 156 IA Primary

Addresses

Primary practice location

1208 W Nishna Rd
Shenandoah, IA 51601-2116

Mailing address

1208 W Nishna Rd
Shenandoah, IA 51601-2116
Phone (712) 246-3440

Other identifiers 1

IdentifierTypeStateIssuer
0215178MedicaidIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609936962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W NISHNA RD",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012116",
            "telephone_number": "712-246-3440",
            "fax_number": "712-246-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 W NISHNA RD",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012116",
            "telephone_number": "712-246-3440",
            "fax_number": "712-246-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHNA VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "NARDUCCI",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-246-3440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "156",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215178",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.