Sun Drug Village Square LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1034 Issued in IA

Legal business name

SUN DRUG VILLAGE SQUARE LTD

Doing business as

The Compounding Lab

Practice address

6105 Merle Hay Rd
Johnston, IA 50131-1224

Phone

(515) 278-5503

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Steve StrawNPI 1548309271

Title

Pharmacist

Phone

(515) 278-5503

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Compounding Lab Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Straw, R.PH.

  • Pharmacist
  • Johnston, IA
  • NPI 1548309271
  NPD (past) Authorized official
• Debra Lee Straw, RPH

  • Pharmacist
  • Johnston, IA
  • NPI 1861617011
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1801005368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 288",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501310288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 MERLE HAY RD",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311224",
            "telephone_number": "515-278-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DRUG VILLAGE SQUARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "STRAW",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "515-278-5503"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1619519",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Compounding Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Ann Sturm, MS
• Melanie Sullivan
• Samantha Jean Sullivan, PT, DPT
• Bryan Scott Sumner, DPT
• Sun Drug Village Square LTD
• Sunbeam Trails Therapy LLC
• Supreme Health
• Samantha Sutton
• Sara Grace Swank
• Rachel Swanson, TLMHC

• Community/Retail Pharmacy in Johnston, IA
• Providers in Johnston, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.