Panora Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PANORA PHARMACY INC

Practice address

615 E Main St
Panora, IA 50216-1097

Phone

(641) 755-2312

Fax

(641) 755-3773

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Randel, RPHNPI 1811992522

Title

Pharmacist

Phone

(641) 755-2312

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

Practitioners 1

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

• Patricia Randel

  • Pharmacist
  • Panora, IA
  • NPI 1811992522
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1710071121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502160216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E MAIN ST",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502161097",
            "telephone_number": "641-755-2312",
            "fax_number": "641-755-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "RANDEL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "641-755-2312",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "189",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090910",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1607071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Iowa Hospice, LLC
• Andrew Knorr, PHARMD
• Locale Anesthesia, P.C.
• Luis F Guzman Jr
• Panora Assisted Living, L.L.C.
• Panorama Community School District
• Tim Allen Pearson, D.C.
• Patricia Randel
• Schreiber Family Chiropractic, P.C.
• Bailey Josephine Schreiber, D.C.

• All providers in Panora, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.