Kasson Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

IA640 Issued in IA

Legal business name

KASSON DRUG INC

Practice address

503 6TH St
Armstrong, IA 50514-0666

Phone

(712) 868-3502

Fax

(712) 868-3280

NPI assigned

Jul 25, 2006

Last updated

Oct 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brent Kasson, RPH

Title

Pharmacist in Charge Owner

Phone

(712) 868-3502

Specialties & licenses 3

Addresses

Other identifiers 3

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1619990694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "505140500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 6TH ST",
            "city": "ARMSTRONG",
            "state": "IA",
            "postal_code": "505140666",
            "telephone_number": "712-868-3502",
            "fax_number": "712-868-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASSON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "KASSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE OWNER",
        "authorized_official_telephone_number": "712-868-3502",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "IA640",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1610749",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440097600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209890",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dalton Michael Frick
• Healthsource of Armstrong, PC
• Mariah Marie Martin, LMT
• North Union Community School District
• Oleson Chiropractic, Inc
• Greg E Oleson, D.C.
• Paul Chiropractic, LLC

• Pharmacy in Armstrong, IA
• Providers in Armstrong, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.