Total Dose Centerville, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TOTAL DOSE CENTERVILLE, LLC

Doing business as

Owl Pharmacy

Practice address

213 N 13TH St
Centerville, IA 52544-1707

Phone

(641) 437-7200

Fax

(641) 437-7300

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

David George

Title

Co-Owner/Manager

Phone

(405) 562-1800

Specialties & licenses 2

Addresses

Other names 1

• Owl Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620777600000",
    "number": "1659967578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14101 N EASTERN AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135860",
            "telephone_number": "405-562-1800",
            "fax_number": "405-562-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N 13TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441707",
            "telephone_number": "641-437-7200",
            "fax_number": "641-437-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DOSE CENTERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "405-562-1800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owl Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owl Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vincent E. Sullivan, M.D.
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• Brianne Elyse Thompson, M.A., CCC-SLP
• Jennifer Tomlin, ARNP
• Total Dose Centerville, LLC
• Tresemer Physical Therapy Inc
• Raymond Mark Tresemer, PT
• Natalie Trinkle, ARNP
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• Community/Retail Pharmacy in Centerville, IA
• Providers in Centerville, 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 May 12, 2021; 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.