Lamoni Varsity Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

486 Issued in IA

Legal business name

LAMONI VARSITY DRUG

Doing business as

Varisty Drug

Practice address

101 E Main St
Lamoni, IA 50140-1241

Phone

(641) 784-6322

Fax

(641) 784-6415

NPI assigned

Oct 31, 2006

Last updated

Jan 9, 2008By 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

Larry Phillips, PHARMACIST

Title

Owner

Phone

(641) 784-6322

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Varisty Drug Doing business as

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1952487191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "501401241",
            "telephone_number": "641-784-6322",
            "fax_number": "641-784-6415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAIN ST",
            "city": "LAMONI",
            "state": "IA",
            "postal_code": "501401241",
            "telephone_number": "641-784-6322",
            "fax_number": "641-784-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAMONI VARSITY DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-784-6322",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427393",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600127005",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Varisty Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laney Leigha Jones, MSAT, ATC, LAT
• Lamoni Assisted Living, L.L.C.
• Lamoni C.S.D.
• Lamoni Chiropractic Center, Inc
• Lamoni Family Care Chiropractic LLC
• Lamoni Varsity Drug L.L.C. D/B/a Varsity Drug
• Terry Burritt Lesan, DDS
• Erin Rae Lundy
• Ethan Middleton, PHARMD
• Andrew Miller, MAT, ATC, LAT

• Community/Retail Pharmacy in Lamoni, IA
• Providers in Lamoni, 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 Jan 9, 2008; 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.