Midland Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MIDLAND PHARMACY, INC

Doing business as

Medicap Pharmacy

Practice address

414 N 18TH St
Centerville, IA 52544-1823

Phone

(641) 437-4357

NPI assigned

Sep 21, 2006

Last updated

Mar 7, 2023By 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

Mark A Miller

Title

V.P. Pharmarcy Operations

Phone

(800) 325-1397

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicap Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jana Marie Roberts, RPH

  • Pharmacist
  • Bloomfield, IA
  • NPI 1871583112
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1922107663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIDER TRAIL PLAZA DR",
            "address_2": "SUITE 300",
            "city": "EARTH CITY",
            "state": "MO",
            "postal_code": "630451313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N 18TH ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441823",
            "telephone_number": "641-437-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V.P. PHARMARCY OPERATIONS",
        "authorized_official_telephone_number": "800-325-1397"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "404",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1613808",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208058",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Medical Center-Centerville (Mercy Medical Clinic)
• Mercy Medical Center-Centerville (St. Joseph Mercy Hospice)
• Mercy Medical Center-Centerville (Centerville Medical Clinic-Mercy)
• Mercy Medical Center-Centerville
• Amanda Lynn Merry, PHARM D
• Rebecca Lynn Moore, FNP-C
• New Focus Inc
• New Focus Inc
• New Focus Inc.
• New Focus, Inc.

• Community/Retail Pharmacy in Centerville, IA
• Providers in Centerville, 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 Mar 7, 2023; 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.