Sac City Drug Custom Compounding

Primary specialty

PharmacistTaxonomy code 183500000X

License

18471 Issued in IA

Legal business name

SAC CITY DRUG CUSTOM COMPOUNDING

Practice address

514 W Main St
Sac City, IA 50583-1727

Phone

(712) 662-7146

Fax

(712) 662-3226

NPI assigned

Nov 4, 2005

Last updated

Aug 22, 2020By 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

Toni Nieland, R. PH.

Title

Owner

Phone

(712) 662-7146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942291240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831727",
            "telephone_number": "712-662-7146",
            "fax_number": "712-662-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MAIN ST",
            "city": "SAC CITY",
            "state": "IA",
            "postal_code": "505831727",
            "telephone_number": "712-662-7146",
            "fax_number": "712-662-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAC CITY DRUG CUSTOM COMPOUNDING",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NIELAND",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-662-7146",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "18471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One 2 One Sac City LLC (Sac City Drug)
• Karen R Page, ARNP
• Zoltan L Pek, MD
• Pharma340 LLC (Community Pharmacy of Sac City)
• Sac C.S.D.
• Sac City Drug, LLC. (Sac City Drug)
• Sac City Ia Skilled Nursing Facility, LLC
• Sac City Ia Skilled Nursing Facility, LLC
• Sac City Ia Skilled Nursing Facility, LLC
• Sac County (Sac Ida Case Management)

• Pharmacist in Sac City, IA
• Providers in Sac City, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.