South Side Drug Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

SOUTH SIDE DRUG INC

Practice address

337 Church St
Ottumwa, IA 52501-4294

Phone

(641) 682-3467

Fax

(641) 682-8822

NPI assigned

Jan 31, 2019

Organization subpart

Yes

Parent organization

SOUTH SIDE DRUG INCAs reported in NPPES

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

Authorized official

Name

Mr. Mark L Frahm, RPH

Title

Vice-President

Phone

(641) 682-3467

Specialties & licenses 1

Addresses

Tax ID family

South Side Drug Store2 organizations share this tax ID, including this one

Part of

South Side Drug Store

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Side Drug Inc

  • Community/Retail Pharmacy
  • Ottumwa, IA
  • NPI 1801817879
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• South Side Drug Inc

  • Community/Retail Pharmacy
  • Ottumwa, IA
  • NPI 1801817879
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Robinson, PHARMD

  • Pharmacist
  • Ottumwa, IA
  • NPI 1154971570
  NPD

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1942765284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 CHURCH ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014294",
            "telephone_number": "641-682-3467",
            "fax_number": "641-682-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 CHURCH ST",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525014294",
            "telephone_number": "641-682-3467",
            "fax_number": "641-682-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIDE DRUG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH SIDE DRUG INC",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "FRAHM",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "641-682-3467",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Erin Smith, RN
• Amanda L Snow, RN
• William S Snyder III, FNP
• Jason John Sothman, D.C.
• South Side Drug Inc
• Southeast Iowa Chiropractic LLC
• Southeast Iowa Kidney Care, Hypertension and Medicine Clinic, LLC
• Southern Iowa Economic Development Assoc
• Southern Iowa Family Planning Clinic, Inc.
• Southern Iowa Mental Health Center

• Long Term Care Pharmacy in Ottumwa, IA
• Providers in Ottumwa, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.