Family Practice Center Phcy

Primary specialty

PharmacyTaxonomy code 333600000X

License

1482 Issued in IA

Legal business name

FAMILY PRACTICE CENTER PHCY

Practice address

2055 Kimball Ave
Suite 101
Waterloo, IA 50702-5047

Phone

(319) 272-2112

Fax

(319) 272-2107

NPI assigned

Nov 18, 2013

Organization subpart

Yes

Parent organization

NORTHEAST IOWA MEDICAL EDUCATION FOUNDATION, INCAs reported in NPPES

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

Authorized official

Name

James D Hoehns, PHARM D

Title

Pharmist

Phone

(319) 272-2112

Specialties & licenses 1

Addresses

Part of

Northeast Iowa Medical

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1689004368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE",
            "address_2": "SUITE 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025047",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE",
            "address_2": "SUITE 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025047",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE CENTER PHCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHEAST IOWA MEDICAL EDUCATION FOUNDATION, INC",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "HOEHNS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHARMIST",
        "authorized_official_telephone_number": "319-272-2112",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.