Active NPI
T Zenon Pharmaceuticals LLC
- Clinic Pharmacy
- North Liberty, IA
National Provider Identifier
1891843835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic Pharmacy
- License
- 1272
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1622946 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 0736850 | Medicaid | IA |
Other names 1
- PHARMACY MATTERS
National Provider Directory
National Provider DirectoryLocations
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.