Organization Active NPI

Pharmacy Associates of Carroll, Inc

  • Pharmacy
  • Carroll, IA
National Provider Identifier
1922091925
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1253 Issued in IA
Legal business name
PHARMACY ASSOCIATES OF CARROLL, INC
Practice address
425 Hwy 30 West,
Suite 140C
Carroll, IA 51401-0157
Phone
(712) 792-2671
Fax
(712) 792-3951
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Phillip J Markway, RPH
Title
Pharmacy Manager
Phone
(712) 792-2671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 1253 IA Primary
Long Term Care Pharmacy 3336L0003X 1253 IA

Addresses

Primary practice location

425 Hwy 30 West,
Suite 140C
Carroll, IA 51401-0157

Mailing address

425 Hwy 30 West, Suite 140C
PO Box 157
Carroll, IA 51401-0157
Phone (712) 792-2671

Other identifiers 2

IdentifierTypeStateIssuer
0446161MedicaidIA
1622186OtherIANABP NUMBER

Other names 1

  • Carroll Apothecary LTC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1922091925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HWY 30 WEST, SUITE 140C",
            "address_2": "PO BOX 157",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514010157",
            "telephone_number": "712-792-2671",
            "fax_number": "712-792-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HWY 30 WEST,",
            "address_2": "SUITE 140C",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514010157",
            "telephone_number": "712-792-2671",
            "fax_number": "712-792-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ASSOCIATES OF CARROLL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "MARKWAY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "712-792-2671",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1253",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "1253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446161",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "1622186",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carroll Apothecary LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.