Individual provider Active NPI

Makayla Niehaus

  • Pharmacist
  • Sac City, IA
National Provider Identifier
1831716596
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23841 Issued in IA
Practice address
501 W Main St
Sac City, IA 50583-1726
Phone
(712) 662-8165
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23841 IA Primary

Addresses

Primary practice location

501 W Main St
Sac City, IA 50583-1726

Mailing address

501 W Main St
Sac City, IA 50583-1726
Phone (712) 662-8165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
23841IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pharma340 LLC CurrentSince Jul 5, 2020 Accepting new patients
Pharma340 LLC PastSince Jul 5, 2020 Accepting new patients

Locations

501 W Main St
Sac City, IA 50583
Phone (712) 662-8165

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1831716596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831726",
            "telephone_number": "712-662-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831726",
            "telephone_number": "712-662-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEHAUS",
        "first_name": "MAKAYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sac City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.