Organization Active NPI

Frederick C and Ann M Marcalus

Doing business as Family Pharmacy

  • Community/Retail Pharmacy
  • Stratford, IA
National Provider Identifier
1699864751
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
679
Legal business name
FREDERICK C AND ANN M MARCALUS
Doing business as
Family Pharmacy
Practice address
803 Shakespeare St.
Stratford, IA 50249
Phone
(515) 838-2322
Fax
(515) 838-2666
NPI assigned
Oct 12, 2006
Last updated
Oct 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Fred C Marcalus
Title
Pharmacist
Phone
(515) 838-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 679 Primary

Addresses

Primary practice location

803 Shakespeare St.
Stratford, IA 50249

Mailing address

803 Shakespeare St.
Stratford, IA 50249
Phone (515) 838-2322

Other names 1

  • Family Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1699864751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 SHAKESPEARE ST.",
            "city": "STRATFORD",
            "state": "IA",
            "postal_code": "50249",
            "telephone_number": "515-838-2322",
            "fax_number": "515-838-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SHAKESPEARE ST.",
            "city": "STRATFORD",
            "state": "IA",
            "postal_code": "50249",
            "telephone_number": "515-838-2322",
            "fax_number": "515-838-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK C AND ANN M MARCALUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "MARCALUS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "515-838-2322"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": "679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.