Pamida Stores Operating Co LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

79 Issued in IA

Legal business name

PAMIDA STORES OPERATING CO LLC

Doing business as

Pamida Pharmacy 697

Practice address

100 N Main St
Sigourney, IA 52591-1414

Phone

(641) 622-3184

Fax

(641) 622-1054

NPI assigned

Sep 11, 2008

Last updated

Nov 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Harlow

Title

Ceo/President

Phone

(402) 596-7206

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pamida Pharmacy 697 Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shopko Stores Operating Co LLC

  dba Shopko Pharmacy 2651

  • Community/Retail Pharmacy
  • Hart, MI
  • NPI 1699727511

  Member Of

  NPD member

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1891944187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911414",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "SIGOURNEY",
            "state": "IA",
            "postal_code": "525911414",
            "telephone_number": "641-622-3184",
            "fax_number": "641-622-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMIDA STORES OPERATING CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HARLOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "402-596-7206",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IA",
            "license": "79",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "79",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891944187",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1623506",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pamida Pharmacy 697",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy J Molyneux, LMSW
• Megan Ashley Mwangi
• Paul Edward O'Rourke, RPH
• Opco Sigourney, Ia, LLC (Windsor Place Senior Living Campus, AL)
• Opco Sigourney, Ia, LLC (Windsor Place Senior Living Campus)
• Cheryl Ann Quinn, D.O.
• Annie Brook Ritchie, COTA
• River Hills Community Health Center Inc (RHCHC Sigourney Junior-Senior High School)
• River Hills Community Health Center Inc (RHCHC Sigourney Elementary School)
• Will Saxena, MD

• Community/Retail Pharmacy in Sigourney, IA
• Providers in Sigourney, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.