Organization Active NPI

Medical Plaza Pharmacy

  • Pharmacist
  • Iowa City, IA
National Provider Identifier
1750372223
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
170 Issued in IA
Legal business name
MEDICAL PLAZA PHARMACY
Practice address
540 E Jefferson St
Suite 104
Iowa City, IA 52245-2477
Phone
(319) 337-3966
NPI assigned
Nov 2, 2005
Last updated
Jul 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Michael Deninger, PH.D. RPH.
Title
Partner
Phone
(319) 337-3966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 170 IA Primary

Addresses

Primary practice location

540 E Jefferson St
Suite 104
Iowa City, IA 52245-2477

Mailing address

540 E Jefferson St
Suite 104
Iowa City, IA 52245-2477
Phone (319) 337-3966

Other identifiers 1

IdentifierTypeStateIssuer
0014225MedicaidIA

National Provider Directory

National Provider Directory

Locations

540 E Jefferson St
Ste 104
Iowa City, IA 52245
Phone (319) 337-3966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1750372223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST",
            "address_2": "SUITE 104",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452477",
            "telephone_number": "319-337-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E JEFFERSON ST",
            "address_2": "SUITE 104",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522452477",
            "telephone_number": "319-337-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "DENINGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "319-337-3966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D. RPH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014225",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.