Maquoketa Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MAQUOKETA PHARMACY INC

Doing business as

Osterhaus Pharmacy

Practice address

918 W Platt St Ste 2
Maquoketa, IA 52060-2038

Phone

(563) 652-5611

Fax

(563) 652-6242

NPI assigned

Oct 19, 2021

Last updated

Dec 1, 2021By 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

Mr. Robert John Greenwood, RPH

Title

President/Pharmacist

Phone

(319) 230-7534

Specialties & licenses 2

Addresses

Other names 1

• Osterhaus Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Tax ID family

Maquoketa Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Maquoketa Pharmacy Inc

  dba M & M Care

  • Long Term Care Pharmacy
  • Maquoketa, IA
  • NPI 1063177293
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Greenwood Drug Inc

  • Community/Retail Pharmacy
  • Waterloo, IA
  • NPI 1811084056

  Member Of

  NPD member

Locations

Practitioners 4

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.

• Kole Gallick, PHARMD

  • Pharmacist
  • Maquoketa, IA
  • NPI 1760101166
  NPD
• Tammy Sue Bullock, PHARMD

  • Pharmacist
  • Maquoketa, IA
  • NPI 1063510139
  NPD (past)
• Jessica Lea Schaefer, PHARMD

  • Pharmacist
  • Maquoketa, IA
  • NPI 1497274971
  NPD (past)
• Angela Michelle Spannagel, PHARMD

  • Pharmacist
  • Maquoketa, IA
  • NPI 1811218761
  NPD (past)

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638316800000",
    "number": "1861155699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST STE 2",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 W PLATT ST STE 2",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602038",
            "telephone_number": "563-652-5611",
            "fax_number": "563-652-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAQUOKETA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "319-230-7534",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osterhaus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Osterhaus Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maquoketa Community School District
• Maquoketa Family Clinic
• Maquoketa Kidney Center, LLC
• Maquoketa Opco LLC (Maquoketa Care Center)
• Maquoketa Pharmacy Inc (M & M Care)
• Marcia Gansen Martin
• Nathan McCarty
• Charity McDevitt, PTA
• Medical Associates of Maquoketa, P.C.
• Tiffany R Medinger, PHARMD, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.