Lagrange Pharmacy Inc

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

Organization subpart

No

Name

Dan Arthur Lagrange

Title

President

Phone

(319) 560-9336

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

• Lutheran Home for the Aged Association-East

  • Skilled Nursing Facility
  • Vinton, IA
  • NPI 1770653867

  Adp of the SNF

  CMS ownership

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

• Lagrange Pharmacy Inc.

  • Community/Retail Pharmacy
  • Urbana, IA
  • NPI 1770135444

  O20170914002920

  Same enrollment

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

• Lagrange Pharmacy Inc

  • Community/Retail Pharmacy
  • Urbana, IA
  • NPI 1962053025
  NPPES parent name
• Lagrange Pharmacy Inc.

  • Long Term Care Pharmacy
  • Vinton, IA
  • NPI 1013401793
  NPPES parent name
• Lagrange Pharmacy Inc.

  • Community/Retail Pharmacy
  • Urbana, IA
  • NPI 1770135444
  NPPES parent name

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

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

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.

• Lagrange Pharmacy Inc

  • Community/Retail Pharmacy
  • Urbana, IA
  • NPI 1962053025
  NPD tax ID
• Lagrange Pharmacy Inc.

  • Long Term Care Pharmacy
  • Vinton, IA
  • NPI 1013401793
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2024.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1601384",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078352",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iowa Physicians Clinic Medical Foundation
• Samantha Isaac, PA
• Leah Isaacson, SLP-CF
• Katie C Iverson, PA
• Samantha J Jirak, DNP
• Lagrange Pharmacy Inc.
• Alison Lagrange, ARNP
• Robert Michael Lagrange, RPH
• Gene R Lariviere, M.D.
• Monica Leborious, MA, CCC-SLP

• All providers in Vinton, IA
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.