Organization Active NPI

Rex Pharmacy Inc

  • Long Term Care Pharmacy
  • Atlantic, IA
National Provider Identifier
1689116402
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
54 Issued in IA
Legal business name
REX PHARMACY INC
Practice address
1607 E 7TH St
Atlantic, IA 50022-1910
Phone
(712) 243-2110
Fax
(712) 243-2064
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Joshua Borer, PHARMD
Title
President
Phone
(712) 243-2110

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 54 IA Primary

Addresses

Primary practice location

1607 E 7TH St
Atlantic, IA 50022-1910

Mailing address

1607 E 7TH St
Atlantic, IA 50022-1910
Phone (712) 243-2110

Other identifiers 1

IdentifierTypeStateIssuer
2166068OtherPK

Other names 1

  • REX PHARMACY (LTC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rex Pharmacy 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.

Locations

1607 E 7th St
Atlantic, IA 50022
Phone (712) 243-2110

507 Chestnut St
Atlantic, IA 50022
Phone (712) 243-2110

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1689116402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221910",
            "telephone_number": "712-243-2110",
            "fax_number": "712-243-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221910",
            "telephone_number": "712-243-2110",
            "fax_number": "712-243-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "BORER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-243-2110",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REX PHARMACY (LTC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.