Rex Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

54 Issued in IA

Legal business name

REX PHARMACY INC

Doing business as

Rex Pharmacy

Practice address

1607 E 7TH St
Atlantic, IA 50022-1910

Phone

(712) 243-2110

Fax

(712) 243-2064

NPI assigned

Dec 28, 2005

Last updated

Oct 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Borer, PHARMDNPI 1811489677

Title

President

Phone

(712) 243-2110

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Rex Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Rex Pharmacy Inc.

  • Pharmacy
  • Manning, IA
  • NPI 1518052612

  5496872012

  Same PAC ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rom Pharm, LLC

  dba Paragon Partners

  • Long Term Care Pharmacy
  • Omaha, NE
  • NPI 1982224234

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Joshua Borer, PHARMD

  • Pharmacist
  • Atlantic, IA
  • NPI 1811489677
  NPD (past) Authorized official
• Casey Alan Anderson

  • Pharmacist
  • Atlantic, IA
  • NPI 1063905784
  NPD (past)
• Luann Ihnken, RPH

  • Pharmacist
  • Atlantic, IA
  • NPI 1679065502
  NPD (past)
• Colby Rueschenberg, PHARMD

  • Pharmacist
  • Atlantic, IA
  • NPI 1366935934
  NPD (past)
• Kimberly Ann Vollstedt, PHARMD

  • Pharmacist
  • Audubon, IA
  • NPI 1013239649
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1841277282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221910",
            "telephone_number": "712-243-2110",
            "fax_number": "712-243-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E 7TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221910",
            "telephone_number": "712-243-2110",
            "fax_number": "712-243-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1607 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Atlantic",
            "state": "IA",
            "postal_code": "500221910",
            "country_code": "US",
            "telephone_number": "712-243-2110",
            "fax_number": "712-243-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "BORER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-243-2110",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "54",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "54",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1609835",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008946",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008946",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Physiotherapy Associates Inc (Physio)
• Dianna Marie Prokupek, ARNP
• Justina R Reeves, TCADC
• Renal Treatment Centers Illinois Inc (Atlantic Dialysis)
• Rex Pharmacy Inc (Rex Pharmacy (LTC))
• Jessica Richter, LMHC
• Robert H. Sharp, O.D., PC (Family Vision Center)
• Mary K Robinson, PA-C
• Alyssa Rogers, OTR
• Michael L Rohde, PT

• Pharmacy in Atlantic, IA
• Providers in Atlantic, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.