Eby Drug Store (Logan), Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

603 Issued in IA

Legal business name

EBY DRUG STORE (LOGAN), INC

Practice address

103 N 4TH Ave
Logan, IA 51546

Phone

(712) 644-2160

Fax

(712) 644-2103

NPI assigned

Sep 28, 2006

Last updated

May 12, 2011By 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

Stephen P. Eby

Title

President

Phone

(712) 644-2848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Witt, PHARM. D.

  • Pharmacist
  • Logan, IA
  • NPI 1073908448
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1821189366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 4TH AVE",
            "address_2": "P.O. BOX 187",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "51546",
            "telephone_number": "712-644-2160",
            "fax_number": "712-644-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N 4TH AVE",
            "city": "LOGAN",
            "state": "IA",
            "postal_code": "51546",
            "telephone_number": "712-644-2160",
            "fax_number": "712-644-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBY DRUG STORE (LOGAN), INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-644-2848"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alegent Health Community Memorial Hospital of Missouri Valley, Iowa (CHI Health Clinic Logan)
• Kathleen Chapman, NP
• Casey Lynne Charbonneau, FNP-BC
• County of Harrison (Harrison County Home and Public Health)
• Benjamin R Deutschman, DPT
• Empower Chiropractic PLLC
• Empower Family Chiropractic LLC
• Rachel S Francis, DC
• Carrie Lynn Grady, M.D.
• Harrison County Homemaker Agency

• Community/Retail Pharmacy in Logan, IA
• Providers in Logan, 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 May 12, 2011; 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.