Organization Active NPI

Pharmacy Support Services

  • Rural Acute Care Hospital
  • Polk City, IA
National Provider Identifier
1881969657
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
1341 Issued in IA
Legal business name
PHARMACY SUPPORT SERVICES
Practice address
1109 Tradition Dr
Polk City, IA 50226-1220
Phone
(515) 669-6571
Fax
(866) 875-1792
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Mr. Matthew J McNulty, R.PH.
Title
President
Phone
(515) 669-6571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 1341 IA Primary

Addresses

Primary practice location

1109 Tradition Dr
Polk City, IA 50226-1220

Mailing address

1109 Tradition Dr
Polk City, IA 50226-1220

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1881969657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 TRADITION DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 TRADITION DR",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261220",
            "telephone_number": "515-669-6571",
            "fax_number": "866-875-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-669-6571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "IA",
            "license": "1341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.