Friendship Haven, Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

450 Issued in IA

Legal business name

FRIENDSHIP HAVEN, INC

Doing business as

Friendship Haven Pharmacy

Practice address

420 Kenyon Rd
Fort Dodge, IA 50501-5749

Phone

(515) 573-6015

Fax

(515) 573-6029

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Nicole E Conrad, RPH

Title

Director of Pharmacy

Phone

(515) 573-6015

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Friendship Haven Pharmacy Doing business as

Tax ID family

Friendship Haven2 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.

• Friendship Haven, Inc

  • Skilled Nursing Facility
  • Fort Dodge, IA
  • NPI 1114922481
  NPD tax ID

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1700809407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015749",
            "telephone_number": "515-573-6015",
            "fax_number": "515-573-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 KENYON RD",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015749",
            "telephone_number": "515-573-6015",
            "fax_number": "515-573-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP HAVEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "515-573-6015",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076646",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Haven Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Francisco
• Don T. Fredregill, R.PH.
• Freedom Pointe of Greater Webster County
• Courtney Frerichs, LMHC
• Friendship Haven, Inc
• Nicole Friesth, PHARM.D.
• Greg Frommelt, RPH
• Jeffrey Neal Frye
• Caryl Marie Fuoss, LISW
• Ga Combine LLC

• Long Term Care Pharmacy in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.