P.B.R., Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

1183 Issued in IA

Legal business name

P.B.R., INC.

Doing business as

Med-Equip Pharmacy #7

Practice address

1310 18TH St
Suite B
Spirit Lake, IA 51360-1150

Phone

(712) 336-0318

Fax

(712) 336-5742

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wally J. Tschopp, RPH

Title

President

Phone

(712) 728-2165

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Med-Equip Pharmacy #7 Doing business as

Tax ID family

Med-Equip3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• P B R Inc

  dba Med-Equip Pharmacy #0

  • Pharmacy
  • Hartley, IA
  • NPI 1508972316
  NPD tax ID
• PBR Inc

  dba Med-Equip

  • Durable Medical Equipment & Medical Supplies
  • Spencer, IA
  • NPI 1790723237
  NPD tax ID

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1891801627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 18TH ST",
            "address_2": "SUITE B",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601150",
            "telephone_number": "712-336-0318",
            "fax_number": "712-336-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 18TH ST",
            "address_2": "SUITE B",
            "city": "SPIRIT LAKE",
            "state": "IA",
            "postal_code": "513601150",
            "telephone_number": "712-336-0318",
            "fax_number": "712-336-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P.B.R., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TSCHOPP",
        "authorized_official_first_name": "WALLY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-728-2165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1183",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1183",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1183",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285965",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1621285",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "1183",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Equip Pharmacy #7",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tyler Oberbroeckling, DC
• Olson Bieri Christensen, DDS, PC
• Brett Joel Olson, M.D.
• On the Rock Counseling LLC
• P B R Inc (Med-Equip)
• Dale Gene Palmberg, DDS
• Shantel Diann Pausley, LMHC
• Jen Petersen, RPH
• Kayla Jo Plaehn, OTD, OTR/L
• Bradley Dean Poock, DC

• Pharmacy in Spirit Lake, IA
• Providers in Spirit Lake, IA by specialty
• Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.