Woodlawn Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

517 Issued in IA

Legal business name

WOODLAWN PHARMACY

Practice address

101 N Woodlawn Ave
Lake City, IA 51449-1723

Phone

(712) 464-8811

Fax

(712) 464-8614

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Julie R Kraft, RPHNPI 1063532844

Title

RPH, Owner

Phone

(712) 464-8811

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie R Kraft, RPH

  • Pharmacist
  • Lake City, IA
  • NPI 1063532844
  NPD (past) Authorized official
• Larry Lee Kruthoff, RPH

  • Pharmacist
  • Lake City, IA
  • NPI 1265552061
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1619043056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WOODLAWN AVE",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491723",
            "telephone_number": "712-464-8811",
            "fax_number": "712-464-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WOODLAWN AVE",
            "city": "LAKE CITY",
            "state": "IA",
            "postal_code": "514491723",
            "telephone_number": "712-464-8811",
            "fax_number": "712-464-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "KRAFT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RPH, OWNER",
        "authorized_official_telephone_number": "712-464-8811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "0176280001",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "517",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "517",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007955",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maurine Thieszen, R.D.
• David Joseph Verbik, DDS PHD
• Margaret Mary Vitiritto Khan, DO
• VSL Lake City LLC
• Cassandra M Wetter, R.D.

• Community/Retail Pharmacy in Lake City, IA
• Providers in Lake City, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.