Organization Active NPI

Norgaard and Williams General Parternership

  • Community/Retail Pharmacy
  • Polk City, IA
National Provider Identifier
1790812337
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
384 Issued in IA
Legal business name
NORGAARD AND WILLIAMS GENERAL PARTERNERSHIP
Practice address
119 2ND St.
Polk City, IA 50226-0500
Phone
(515) 984-6554
Fax
(515) 984-6460
NPI assigned
Feb 28, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Alan Stuart Norgaard
Title
Pharmacist-Owner
Phone
(515) 984-6554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 384 IA Primary

Addresses

Primary practice location

119 2ND St.
Polk City, IA 50226-0500

Mailing address

PO Box 365
Polk City, IA 50226-0365
Phone (515) 984-6554

Other identifiers 1

IdentifierTypeStateIssuer
0140483MedicaidIA

Other names 1

  • Big Creek Pharmacy Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1790812337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502260365",
            "telephone_number": "515-984-6554",
            "fax_number": "515-984-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 2ND ST.",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502260500",
            "telephone_number": "515-984-6554",
            "fax_number": "515-984-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORGAARD AND WILLIAMS GENERAL PARTERNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "NORGAARD",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PHARMACIST-OWNER",
        "authorized_official_telephone_number": "515-984-6554"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140483",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Creek Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Polk City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.