Mahaska Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

449 Issued in IA

Legal business name

MAHASKA DRUG INC

Practice address

205 N E St
Oskaloosa, IA 52577-2016

Phone

(641) 673-3439

Fax

(641) 673-3945

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Miss Jane M Nicholson, RPHNPI 1760013692

Title

Owner/Pharmacist

Phone

(641) 673-3439

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mahaska Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Oskaloosa Care Center, Inc.

  • Skilled Nursing Facility
  • Oskaloosa, IA
  • NPI 1740441047

  Adp of the SNF

  CMS ownership

Practitioners 5

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

• Jane Nicholson

  • Pharmacist
  • Oskaloosa, IA
  • NPI 1760013692
  NPD Authorized official
• Thomas J Haas, RPH

  • Pharmacist
  • Coralville, IA
  • NPI 1427697275
  NPD
• Paige Elizabeth Kindley, PHARMD

  • Pharmacist
  • Oskaloosa, IA
  • NPI 1184255069
  NPD (past)
• Daryl Joseph Popelka, RPH

  • Pharmacist
  • Oskaloosa, IA
  • NPI 1609495100
  NPD (past)
• Shania Wilz, PHARMD

  • Pharmacist
  • Ottumwa, IA
  • NPI 1740808203
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590451200000",
    "number": "1720006372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N E ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772016",
            "telephone_number": "641-673-3439",
            "fax_number": "641-673-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N E ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772016",
            "telephone_number": "641-673-3439",
            "fax_number": "641-673-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHASKA DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "641-673-3439",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "449",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "1617402",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097873",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahaska Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mahaska Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahaska County Hospital
• Mahaska County Hospital
• Mahaska County Hospital
• Mahaska County Hospital
• Mahaska Drug 'Long-Term Care'
• Mahaska Health Partnership
• Mahaska Health Partnership
• Mahaska Hearing Aid Center
• Tanetta C Main, RN, FNP
• Mark Ford DC PLLC

• Community/Retail Pharmacy in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.