Meskwaki Pharmacy

Primary specialty

Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X

Legal business name

MESKWAKI PHARMACY

Practice address

1646 305TH Street
Tama, IA 52339-9634

Phone

(641) 484-4667

Fax

(641) 484-4875

NPI assigned

May 15, 2007

Organization subpart

No

Name

Patrick Bolte

Title

Chief Pharmacist

Phone

(641) 484-4667

Tax ID family

Sac Fox Tribe of the Miss in Iowa3 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.

• Sac & Fox of the Miss in Iowa

  • Primary Care Clinic/Center
  • Tama, IA
  • NPI 1962618355
  NPD tax ID
• Sac & Fox Tribe of the Miss in Iowa

  • General Practice Dentistry
  • Tama, IA
  • NPI 1477811057
  NPD tax ID

Locations

• Sac & Fox Tribe of the Mississippi in Iowa pharmacy Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2011.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1902012305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 305TH STREET",
            "city": "TAMA",
            "state": "IA",
            "postal_code": "523399634",
            "telephone_number": "641-484-4667",
            "fax_number": "641-484-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 305TH STREET",
            "city": "TAMA",
            "state": "IA",
            "postal_code": "523399634",
            "telephone_number": "641-484-4667",
            "fax_number": "641-484-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESKWAKI PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "BOLTE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "641-484-4667"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sac & Fox Tribe of the Mississippi in Iowa pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Marie Koehn, RDN, LD
• Nicholas Anthony Kubik, DDS
• Alejandro Martinez
• Mary Malvina Means, RD LD MA
• Mercy Physician Associates, Inc
• Lou Ann Mitchell, M.D
• Stephanie Moore, MA, CADC, CTP
• Tina J Nieland, LPN
• Cindy Elaine Nielsen, DO
• Nicole Elizabeth Peterson, ARNP

• All providers in Tama, IA
• Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Iowa

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