NPIMap

Organization Active NPI

Osterhaus Pharmacy, Inc.

  • Pharmacy
  • Maquoketa, IA
National Provider Identifier
1699867994
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
22 Issued in IA
Legal business name
OSTERHAUS PHARMACY, INC.
Practice address
918 W Platt St
Suite 2
Maquoketa, IA 52060-2038
Phone
(563) 652-5611
Fax
(563) 652-6242
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Matthew C OsterhausNPI 1235226945
Title
President
Phone
(563) 652-5611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 22 IA Primary

Addresses

Primary practice location

918 W Platt St
Suite 2
Maquoketa, IA 52060-2038

Mailing address

918 W Platt St
Suite 2
Maquoketa, IA 52060-2038
Phone (563) 652-5611

Other identifiers 1

IdentifierTypeStateIssuer
0022087MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1699867994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST",
            "address_2": "SUITE 2",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST",
            "address_2": "SUITE 2",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTERHAUS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "OSTERHAUS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-652-5611"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0022087",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.