Five Star Health Services Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

1185 Issued in IA

Legal business name

FIVE STAR HEALTH SERVICES INC

Doing business as

Five Star Pharmacy

Practice address

9379 Swanson Blvd Ste E
Clive, IA 50325-6942

Phone

(515) 252-7555

Fax

(515) 252-8848

NPI assigned

Jan 14, 2010

Last updated

Aug 15, 2016By 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

Rick Pauley

Title

Pharmacist

Phone

(515) 252-7555

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Five Star Pharmacy Doing business as

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471219200000",
    "number": "1649501602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9379 SWANSON BLVD STE E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256942",
            "telephone_number": "515-252-7555",
            "fax_number": "515-252-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9379 SWANSON BLVD STE E",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503256942",
            "telephone_number": "515-252-7555",
            "fax_number": "515-252-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2016-08-15",
        "status": "A",
        "authorized_official_last_name": "PAULEY",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "515-252-7555"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IA",
            "license": "1185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123417",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Star Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Douglas Fish, D.O.
• Patricia Ann Fisk
• Elizabeth Ann Fitzgerald, D.C.
• Denni Fitzsimmons, DO
• Five Star Fa Inc. (Flooring America)
• Flexion Technology, Inc
• Zachary Shane Flick
• Samantha J Flodin, LMSW
• Estefania Michelle Flores Cordova, MD
• Foods, Inc (Dahl's Pharmacy)

• Compounding Pharmacy in Clive, IA
• Providers in Clive, IA by specialty
• Compounding Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.