NPIMap

Organization Active NPI

Lagrange Pharmacy Inc

  • Community/Retail Pharmacy
  • Vinton, IA
National Provider Identifier
1831271998
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
9 Issued in IA
Legal business name
LAGRANGE PHARMACY INC
Practice address
111 W 4TH St
Vinton, IA 52349
Phone
(319) 472-4274
Fax
(319) 472-4266
NPI assigned
Oct 19, 2006
Last updated
Feb 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dan Arthur LagrangeNPI 1710287289
Title
President
Phone
(319) 560-9336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 9 IA
Community/Retail Pharmacy 3336C0003X 9 IA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

111 W 4TH St
Vinton, IA 52349

Mailing address

111 W 4TH St
Vinton, IA 52349-1121
Phone (319) 472-4274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930014568 IA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 1456240803 Practice locations: Vinton, IA
O20170914002920 IA Part B Supplier - Mass Immunization (Roster Biller Only) 1456240803 1 other NPI on this enrollment
Practice locations: Vinton, IA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lagrange Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vinton Lutheran HomeVinton, IA, CCN 165552 Skilled nursing facility Adp of the SNF Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1831271998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 4TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "523491121",
            "telephone_number": "319-472-4274",
            "fax_number": "319-472-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 4TH ST",
            "city": "VINTON",
            "state": "IA",
            "postal_code": "52349",
            "telephone_number": "319-472-4274",
            "fax_number": "319-472-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAGRANGE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "LAGRANGE",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-560-9336"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "9",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "9",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, IA

Sources for this page

Verify at the official NPI Registry.