NPIMap

Organization Active NPI

Pharmacy Relief Services, PLLC

Doing business as Rx4Prevention, PLLC

  • Community/Retail Pharmacy
  • Washington, IA
National Provider Identifier
1932515228
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1509 Issued in IA
Legal business name
PHARMACY RELIEF SERVICES, PLLC
Doing business as
Rx4Prevention, PLLC
Practice address
1010 W Madison St
Washington, IA 52353-1624
Phone
(888) 235-2820
Fax
(888) 241-8223
NPI assigned
Jul 7, 2014
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Philip M Ostrem, RPHNPI 1710265657
Title
Member/Manager
Phone
(319) 331-2552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 1509 IA Primary

Addresses

Primary practice location

1010 W Madison St
Washington, IA 52353-1624

Mailing address

1010 W Madison St
Washington, IA 52353-1624
Phone (888) 235-2820

Other names 1

  • Rx4Prevention, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141223002185 IA Part B Supplier - Pharmacy 7012230006 Practice locations: Washington, IA
O20141229000142 IA Part B Supplier - Mass Immunization (Roster Biller Only) 7012230006 Practice locations: Washington, IA

National Provider Directory

National Provider Directory
Tax ID family
Pharmacy Relief Services PLLC3 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.

Locations

1010 W Madison St
#4
Washington, IA 52353
Phone (888) 235-2820

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1932515228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W MADISON ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531624",
            "telephone_number": "888-235-2820",
            "fax_number": "888-241-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W MADISON ST",
            "city": "WASHINGTON",
            "state": "IA",
            "postal_code": "523531624",
            "telephone_number": "888-235-2820",
            "fax_number": "888-241-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY RELIEF SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "OSTREM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "319-331-2552",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rx4Prevention, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.