Pamida Stores Operating Co LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1298 Issued in IA

Legal business name

PAMIDA STORES OPERATING CO LLC

Doing business as

Pamida Pharmacy

Practice address

1012 Jeffreys Dr
Osceola, IA 50213-9500

Phone

(641) 342-1568

Fax

(641) 342-1606

NPI assigned

Jun 17, 2006

Last updated

Nov 23, 2009By 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. John Harlow

Title

Ceo/President

Phone

(402) 596-7206

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pamida Pharmacy Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shopko Stores Operating Co LLC

  dba Shopko Pharmacy 2651

  • Community/Retail Pharmacy
  • Hart, MI
  • NPI 1699727511

  Member Of

  NPD member

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1821033663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 JEFFREYS DR",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502139500",
            "telephone_number": "641-342-1568",
            "fax_number": "641-342-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 JEFFREYS DR",
            "city": "OSCEOLA",
            "state": "IA",
            "postal_code": "502139500",
            "telephone_number": "641-342-1568",
            "fax_number": "641-342-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMIDA STORES OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HARLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-596-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0495887",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1622756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamida Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Kay Neuharth, PHARM.D., D.O.
• Kristine A Oksendahl, RD,LD
• Osceola Cab, LLC.
• Osceola Dental Care of Iowa, PC
• Osceola Vision Center P.C. (Osceola Vision Center, Chariton Vision Center, Ottumwa Eye Care)
• Ann E Patterson, ARNP
• Kathleen R Patterson, A.R.N.P.
• Julie Christine Porter, LMHC
• Professional Physical Therapy Services, Inc.
• Professional Physical Therapy Sevices, Inc.

• Community/Retail Pharmacy in Osceola, IA
• Providers in Osceola, 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 Nov 23, 2009; 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.