NPIMap

Organization Active NPI

Ambroson Apothecary

Doing business as The Medicine Shoppe

  • Pharmacist
  • Newton, IA
National Provider Identifier
1881643716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
647 Issued in IA
Legal business name
AMBROSON APOTHECARY
Doing business as
The Medicine Shoppe
Practice address
111 W 2ND St N
Newton, IA 50208-3251
Phone
(641) 792-3111
NPI assigned
May 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Larry Michael Ambroson
Title
Co-Owner
Phone
(641) 792-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 647 IA Primary

Addresses

Primary practice location

111 W 2ND St N
Newton, IA 50208-3251

Mailing address

111 W 2ND St N
Newton, IA 50208-3251
Phone (641) 792-3111

Other names 1

  • The Medicine Shoppe Doing business as

National Provider Directory

National Provider Directory

Locations

111 W 2nd St N
Newton, IA 50208
Phone (641) 792-3111

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881643716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 2ND ST N",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083251",
            "telephone_number": "641-792-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 2ND ST N",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083251",
            "telephone_number": "641-792-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSON APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMBROSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "641-792-3111"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, 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.