Organization Active NPI

Valley Pharmacy Corp

  • Community/Retail Pharmacy
  • Cherokee, IA
National Provider Identifier
1871538298
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
811 Issued in IA
Legal business name
VALLEY PHARMACY CORP
Practice address
800 N 2ND St
Cherokee, IA 51012-1278
Phone
(712) 225-6121
Fax
(712) 225-3782
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dale Bartel, R.P.
Title
Owner
Phone
(712) 225-6121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 811 IA Primary

Addresses

Primary practice location

800 N 2ND St
Cherokee, IA 51012-1278

Mailing address

800 N 2ND St
Cherokee, IA 51012-1278
Phone (712) 225-6121

Other identifiers 1

IdentifierTypeStateIssuer
0173369MedicaidIA

National Provider Directory

National Provider Directory
Tax ID family
Valley Pharmacy2 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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871538298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N 2ND ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121278",
            "telephone_number": "712-225-6121",
            "fax_number": "712-225-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 2ND ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121278",
            "telephone_number": "712-225-6121",
            "fax_number": "712-225-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARTEL",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-225-6121",
        "authorized_official_credential": "R.P."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173369",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.