Sumner Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

43 Issued in IA

Legal business name

SUMNER PHARMACY, INC.

Practice address

100 E 1St St
Sumner, IA 50674-1430

Phone

(563) 578-5142

Fax

(563) 578-5190

NPI assigned

Dec 28, 2006

Last updated

Apr 14, 2008By 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

Mr. James Robert Kennedy, RPH

Title

President

Phone

(563) 578-5142

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1750447470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 1ST ST",
            "address_2": "PO BOX 205",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741430",
            "telephone_number": "563-578-5142",
            "fax_number": "563-578-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 1ST ST",
            "city": "SUMNER",
            "state": "IA",
            "postal_code": "506741430",
            "telephone_number": "563-578-5142",
            "fax_number": "563-578-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-578-5142",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125351",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumner Community Club (Community Memorial Hospital)
• Sumner Community Club (Community Memorial Hospital)
• Sumner Community School District
• Sumner Emergency Medical Services, Inc.
• Sumner Medical Clinic PC
• Sumner-Fredericksburg Community School District
• Taylor Physical Therapy Associates LLC
• Wei Kong Chang Estate
• Jessica Lynne Zmoos, PT, DPT

• Pharmacy in Sumner, IA
• Providers in Sumner, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.