NPIMap

Organization Active NPI

Siouxland Compounding Pharmacy, LLC

  • Compounding Pharmacy
  • Sioux City, IA
National Provider Identifier
1639588262
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
1505 Issued in IA
Legal business name
SIOUXLAND COMPOUNDING PHARMACY, LLC
Practice address
4501 Southern Hills Dr
Suite 3
Sioux City, IA 51106-4769
Phone
(712) 224-6337
NPI assigned
Aug 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Ms. Patricia Hahn, RP
Title
Owner
Phone
(712) 224-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 1505 IA Primary

Addresses

Primary practice location

4501 Southern Hills Dr
Suite 3
Sioux City, IA 51106-4769

Mailing address

4501 Southern Hills Dr
Suite 3
Sioux City, IA 51106-4769
Phone (712) 224-6337

National Provider Directory

National Provider Directory

Locations

4501 Southern Hills Dr
Ste 3
Sioux City, IA 51106
Phone (712) 224-6337

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1639588262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SOUTHERN HILLS DR",
            "address_2": "SUITE 3",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064769",
            "telephone_number": "712-224-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SOUTHERN HILLS DR",
            "address_2": "SUITE 3",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064769",
            "telephone_number": "712-224-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOUXLAND COMPOUNDING PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-224-6337",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RP"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IA",
            "license": "1505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.