Active NPI
Nishna Valley Pharmacy
- Community/Retail Pharmacy
- Shenandoah, IA
National Provider Identifier
1609936962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 156
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215178 | Medicaid | IA |
National Provider Directory
National Provider DirectoryNPI 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.