Organization Active NPI

Signature Compounding L L C

  • Community/Retail Pharmacy
  • Iowa City, IA
National Provider Identifier
1760431787
Registry record updated Dec 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1278 Issued in IA
Legal business name
SIGNATURE COMPOUNDING L L C
Doing business as
PHARMACY MATTERS
Practice address
3526 Dolphin Dr SE
Iowa City, IA 52240-8202
Phone
(319) 337-8649
Fax
(319) 337-8659
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2016

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

Authorized official

Name
Michael Stein, BS PHARMACY
Title
President
Phone
(319) 337-8649

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1278 IA Primary

Addresses

Primary practice location

3526 Dolphin Dr SE
Iowa City, IA 52240-8202

Mailing address

3526 Dolphin Dr SE
Iowa City, IA 52240-8202
Phone (319) 337-8649

Other identifiers 1

IdentifierTypeStateIssuer
2030337OtherPK

Other names 1

  • PHARMACY MATTERS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1760431787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 DOLPHIN DR SE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408202",
            "telephone_number": "319-337-8649",
            "fax_number": "319-337-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 DOLPHIN DR SE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522408202",
            "telephone_number": "319-337-8649",
            "fax_number": "319-337-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE COMPOUNDING L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-337-8649",
        "authorized_official_credential": "BS PHARMACY"
    },
    "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": "1278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2030337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY MATTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 21, 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.