Herron Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1645 Issued in IA

Legal business name

HERRON PHARMACY LLC

Doing business as

Sumpter Pharmacy

Practice address

628 Nile Kinnick Dr S Ste 1
Adel, IA 50003-2071

Phone

(515) 993-1119

Fax

(866) 684-2966

NPI assigned

May 15, 2018

Last updated

Mar 3, 2023By 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

Leslie Herron, RPHNPI 1316219447

Title

President

Phone

(360) 420-6401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sumpter Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Herron, RPH

  • Pharmacist
  • Adel, IA
  • NPI 1316219447
  NPD Authorized official

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1629568795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NILE KINNICK DR S STE 1",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032071",
            "telephone_number": "360-420-6401",
            "fax_number": "515-993-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NILE KINNICK DR S STE 1",
            "city": "ADEL",
            "state": "IA",
            "postal_code": "500032071",
            "telephone_number": "515-993-1119",
            "fax_number": "866-684-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-420-6401",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0712155",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumpter Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenna Marie Heeren, OTR/L
• Laura M Hejtmanek, PT DPT
• Samantha Henning
• Aliyah Hensley, DPT
• Herron Pharmacy LLC (Sumpter Pharmacy)
• Herron Services LLC (Happier At Home)
• Leslie Herron, RPH
• Marcia Jean Holstad, OD
• Homecare Services, Inc. of Dallas County
• Jodi Kay Hook, PT, MS

• Community/Retail Pharmacy in Adel, IA
• Providers in Adel, 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 Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.