Active NPI
Makayla Niehaus
- Pharmacist
- Sac City, IA
National Provider Identifier
1831716596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23841
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 23841 | IA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharma340 LLC | Current | Accepting new patients | |
| Pharma340 LLC | Past | 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.
-
- Community/Retail Pharmacy
- Sac City, IA
- NPI 1871142422
-
- Community/Retail Pharmacy
- Dunlap, IA
- NPI 1306544150
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
- Antoinette Nichole McAleer, CADC, MCC
- Emilie Ellen McNace, LISW
- MD Counseling PLLC
- Jamie Meister
- Thomas R Munger, OD
- North Central Iowa Mental Health Center Inc
- North Central Iowa Mental Health Center Inc
- North Central Iowa Mental Health Center Inc
- Northland Hearing Centers, Inc
- One 2 One Sac City LLC
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.