Organization Active NPI

Keokuk County Health Center

Doing business as Jack's Corner Drug

  • Community/Retail Pharmacy
  • Sigourney, IA
National Provider Identifier
1891056016
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KEOKUK COUNTY HEALTH CENTER
Doing business as
Jack's Corner Drug
Practice address
1314 S Stuart St Ste C
Sigourney, IA 52591-1154
Phone
(641) 622-3184
Fax
(641) 622-1188
NPI assigned
Jun 5, 2012
Organization subpart
Yes
Parent organization
KEOKUK COUNTY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Matthew Jacob Ives
Title
Administrator/Cfo
Phone
(641) 622-1155

Specialties & licenses 1

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

Addresses

Primary practice location

1314 S Stuart St Ste C
Sigourney, IA 52591-1154

Mailing address

1314 S Stuart St Ste C
Sigourney, IA 52591-1154
Phone (641) 622-3184

Other identifiers 1

IdentifierTypeStateIssuer
2135844OtherPK

Other names 1

  • Jack's Corner Drug Doing business as

National Provider Directory

National Provider Directory
Part of
Keokuk County Health Center

Locations

1314 S Stuart St
Ste C
Sigourney, IA 52591
Phone (641) 622-3184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1891056016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S STUART ST STE C",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911154",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S STUART ST STE C",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911154",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEOKUK COUNTY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEOKUK COUNTY HEALTH CENTER",
        "enumeration_date": "2012-06-05",
        "last_updated": "2025-09-02",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "IVES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATOR/CFO",
        "authorized_official_telephone_number": "641-622-1155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jack's Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sigourney, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.