NPIMap

Organization Active NPI

Montross Pharmacy Inc

Doing business as Montross Pharmacy

  • Community/Retail Pharmacy
  • Saint Charles, IA
National Provider Identifier
1740370667
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
111 Issued in IA
Legal business name
MONTROSS PHARMACY INC
Doing business as
Montross Pharmacy
Practice address
134 W Main St
Saint Charles, IA 50240-7701
Phone
(641) 396-2445
Fax
(641) 396-2830
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Jeff Olson
Title
President
Phone
(515) 462-2282

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 111 IA Primary

Addresses

Primary practice location

134 W Main St
Saint Charles, IA 50240-7701

Mailing address

134 W Main St
Saint Charles, IA 50240-7701
Phone (641) 396-2445

Other identifiers 2

IdentifierTypeStateIssuer
2026849OtherPK
014671MedicaidIA

Other names 1

  • MONTROSS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Montross Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1740370667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W MAIN ST",
            "city": "SAINT CHARLES",
            "state": "IA",
            "postal_code": "502407701",
            "telephone_number": "641-396-2445",
            "fax_number": "641-396-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MAIN ST",
            "city": "SAINT CHARLES",
            "state": "IA",
            "postal_code": "502407701",
            "telephone_number": "641-396-2445",
            "fax_number": "641-396-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-462-2282"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026849",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014671",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTROSS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.