Organization Active NPI

Montross Pharmacy Inc

  • Community/Retail Pharmacy
  • Winterset, IA
National Provider Identifier
1952490500
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263 Issued in IA
Legal business name
MONTROSS PHARMACY INC
Doing business as
Montross Pharmacy Inc
Practice address
118-120 N 1St Ave
Winterset, IA 50273-1594
Phone
(515) 462-2282
Fax
(515) 465-2296
NPI assigned
Oct 12, 2006
Last updated
Feb 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Jeffrey OlsonNPI 1407346091
Title
President
Phone
(515) 462-2282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 263 IA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

118-120 N 1St Ave
Winterset, IA 50273-1594

Mailing address

118-120 N 1St Ave
Winterset, IA 50273-1594
Phone (515) 462-2282

Other identifiers 2

IdentifierTypeStateIssuer
0031955MedicaidIA
2026306OtherPK

Other names 1

  • MONTROSS PHARMACY INC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060222000306 IA Part B Supplier - Mass Immunization (Roster Biller Only) 7315953700 Practice locations: Earlham, IA; St Charles, IA; Winterset, IA
O20100930025503 IA DME Supplier - Pharmacy 7315953700 Practice locations: Winterset, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Montross Pharmacy118-120 N 1St Ave, Winterset, IA 50273-1551(515) 462-2282 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Parenteral Nutrients|Nebul… Accepts assignmentParticipating since May 5, 2005

National Provider Directory

National Provider Directory
Tax ID family
Montross Pharmacyinc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1952490500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118-120 N 1ST AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731594",
            "telephone_number": "515-462-2282",
            "fax_number": "515-465-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118-120 N 1ST AVE",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731594",
            "telephone_number": "515-462-2282",
            "fax_number": "515-465-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTROSS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-462-2282"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "263",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0031955",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2026306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTROSS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winterset, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.