NPIMap

Organization Active NPI

Osterhaus Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Maquoketa, IA
National Provider Identifier
1760530620
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
22 Issued in IA
Legal business name
OSTERHAUS PHARMACY, INC
Practice address
918 W Platt St
Suite 2
Maquoketa, IA 52060-2038
Phone
(563) 652-5611
Fax
(563) 652-6242
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Matt Osterhaus, RPH
Title
Owner-Manager
Phone
(563) 652-5611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 22 IA Primary

Addresses

Primary practice location

918 W Platt St
Suite 2
Maquoketa, IA 52060-2038

Mailing address

124 S Main St
Maquoketa, IA 52060-3034
Phone (563) 652-5611

Other identifiers 1

IdentifierTypeStateIssuer
0178608MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
MM Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 6

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1760530620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520603034",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST",
            "address_2": "SUITE 2",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTERHAUS PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "OSTERHAUS",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "563-652-5611",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maquoketa, IA

Sources for this page

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