Kingsley Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KINGSLEY DRUG INC

Doing business as

Kingsley Drug

Practice address

7 W 2ND St
Kingsley, IA 51028-7751

Phone

(712) 383-3784

Fax

(712) 383-3086

NPI assigned

Apr 19, 2021

Organization subpart

No

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

Authorized official

Name

Connor Clark

Title

Owner

Phone

(712) 383-3784

Specialties & licenses 1

Addresses

Other names 1

• Kingsley Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Gratie LLC2 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.

• Kingsley Drug Inc LTC

  dba Kingsley Drug

  • Long Term Care Pharmacy
  • Kingsley, IA
  • NPI 1447050505
  NPD tax ID

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1821679044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W 2ND ST",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "510287751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 W 2ND ST",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "510287751",
            "telephone_number": "712-383-3784",
            "fax_number": "712-383-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLEY DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-383-3784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingsley Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• City of Kingsley
• Todd M Goodwin, D.C.
• Katie Ann Howe, PHARMD
• Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine - Kingsley)
• Karl & Sara Koelling DDS, P.C. (Kingsley Dental Clinic)
• Kingsley Drug Inc LTC (Kingsley Drug)
• Kingsley Pharmacy, Inc
• Kingsley Vision Center PC
• Kingsley-Pierson Community School District
• Jala Jean Kischer, NP-C

• Community/Retail Pharmacy in Kingsley, IA
• Providers in Kingsley, 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 Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.