Amana Society

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1572 Issued in IA

Legal business name

AMANA SOCIETY

Doing business as

Tiffin Pharmacy

Practice address

1100 Tall Grass Ave
Tiffin, IA 52340-4753

Phone

(319) 545-3120

Fax

(319) 545-3127

NPI assigned

May 17, 2016

Last updated

Jul 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff Popenhagen

Title

Director of Marketing and Retail

Phone

(319) 560-0308

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Tiffin Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1720435035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522030189",
            "telephone_number": "319-560-0308",
            "fax_number": "319-622-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TALL GRASS AVE",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523404753",
            "telephone_number": "319-545-3120",
            "fax_number": "319-545-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANA SOCIETY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "POPENHAGEN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR OF MARKETING AND RETAIL",
        "authorized_official_telephone_number": "319-560-0308"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720435035",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159967",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Age on Physical Therapy & Fitness, PLLC
• Lora Albert, RN, BSN, IBCLC, HC
• Emilia McVey Aleksander, MS, RD, LD
• Jordan Matthew Barrera, PT, DPT
• Andrew Beckler
• Gabi B Bulbula
• Jon Burzacott
• CCRC of Tiffin, LLC (Clear Creek Village)

• Community/Retail Pharmacy in Tiffin, IA
• Providers in Tiffin, 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 Jul 27, 2016; 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.