NPIMap

Organization Active NPI

P & K Pharmacy Inc

Doing business as 1030 Medical Pharmacy

  • Pharmacist
  • Cedar Rapids, IA
National Provider Identifier
1942381876
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
958 Issued in IA
Legal business name
P & K PHARMACY INC
Doing business as
1030 Medical Pharmacy
Practice address
1030 5TH Ave SE
Suite 1800
Cedar Rapids, IA 52403-2464
Phone
(319) 362-8976
NPI assigned
Oct 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James PalmerNPI 1720169642
Title
Owner
Phone
(319) 362-8976

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
Pharmacist 183500000X 958 IA Primary

Addresses

Primary practice location

1030 5TH Ave SE
Suite 1800
Cedar Rapids, IA 52403-2464

Mailing address

1030 5TH Ave SE
Suite 1800
Cedar Rapids, IA 52403-2464

Other names 1

  • 1030 Medical Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942381876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 5TH AVE SE",
            "address_2": "SUITE 1800",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 5TH AVE SE",
            "address_2": "SUITE 1800",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032464",
            "telephone_number": "319-362-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & K PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-362-8976"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1030 Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • 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.