Active NPI
Pharmacy Support Services
- Rural Acute Care Hospital
- Polk City, IA
National Provider Identifier
1881969657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- 1341
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Norgaard and Williams General Parternership
- On With Life Extended Services, LTD.
- On With Life Extended Services, LTD.
- Ahmed Onwona-Agyeman
- Rhoderline Onwona-Agyeman
- Pinnacle Health Facilities Xvii LP
- Polk City Eyecare Inc
- Premier at Home Care LLC
- Jordan Root-Japenga, LMFT
- Salt & Sage Acupuncture PLLC
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.