Central City Family Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

797 Issued in IA

Legal business name

CENTRAL CITY FAMILY PHARMACY, INC.

Practice address

402 E Main St
Central City, IA 52214-9454

Phone

(319) 438-1988

Fax

(319) 438-1094

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Megan Manderscheid, PHARMDNPI 1871142182

Title

President

Phone

(319) 438-1988

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Central City Family Pharmacy, Inc

  • Community/Retail Pharmacy
  • Atkins, IA
  • NPI 1063491488

  0042235368

  Same PAC ID
• Central City Family Pharmacy, Inc.

  • Pharmacist
  • Center Point, IA
  • NPI 1750360186

  0042235368

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Central City Family Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central City Family Pharmacy, Inc

  • Community/Retail Pharmacy
  • Atkins, IA
  • NPI 1063491488
  NPD tax ID

Practitioners 5

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

• Megan Elizabeth Manderscheid, PHARMD

  • Pharmacist
  • Central City, IA
  • NPI 1871142182
  NPD (past) Authorized official
• Kyra Corbett

  • Pharmacist
  • Atkins, IA
  • NPI 1093880791
  NPD (past)
• Nanette Meeker

  • Pharmacist
  • Central City, IA
  • NPI 1417506841
  NPD (past)
• Carynn Elizabeth Smith, PHARMD

  • Pharmacist
  • Robins, IA
  • NPI 1427323666
  NPD (past)
• Stephen Dean Willis, RPH

  • Pharmacist
  • Central City, IA
  • NPI 1932221348
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1679552004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "CENTRAL CITY",
            "state": "IA",
            "postal_code": "522140368",
            "telephone_number": "319-438-1988",
            "fax_number": "319-438-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E MAIN ST",
            "city": "CENTRAL CITY",
            "state": "IA",
            "postal_code": "522149454",
            "telephone_number": "319-438-1988",
            "fax_number": "319-438-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "MANDERSCHEID",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-438-1988",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061689",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1616258",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ka Yin Bales, DDS
• Central City C.S.D.
• Central City Community School District
• City of Central City
• Sarah Gericke, DPT
• Beth Griggs
• Elizabeth Marie Homan, MD, MPH
• Briannan D Huss

• All providers in Central City, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.