Organization Active NPI

T Zenon Pharmaceuticals LLC

  • Clinic Pharmacy
  • North Liberty, IA
National Provider Identifier
1891843835
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
1272 Issued in IA
Legal business name
T ZENON PHARMACEUTICALS LLC
Practice address
1765 Lininger LN
North Liberty, IA 52317-2316
Phone
(319) 626-6020
Fax
(319) 626-6022
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Michael Stein, RPH
Title
President
Phone
(319) 337-2492

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Clinic Pharmacy 3336C0002X 1272 IA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1765 Lininger LN
North Liberty, IA 52317-2316

Mailing address

PO Box 170
North Liberty, IA 52317-0170
Phone (319) 337-2492

Other identifiers 2

IdentifierTypeStateIssuer
1622946OtherNCPDP PROVIDER IDENTIFICATION NUMBER
0736850MedicaidIA

Other names 1

  • PHARMACY MATTERS Doing business as

National Provider Directory

National Provider Directory

Locations

1765 Lininger Ln
#200
North Liberty, IA 52317
Phone (319) 626-6020

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1891843835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523170170",
            "telephone_number": "319-337-2492",
            "fax_number": "319-337-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 LININGER LN",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523172316",
            "telephone_number": "319-626-6020",
            "fax_number": "319-626-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T ZENON PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-337-2492",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IA",
            "license": "1272",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1622946",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736850",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHARMACY MATTERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.