LTC Pharmco LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

LTC PHARMCO LLC

Practice address

11376 Aurora Ave BLDG 10
Urbandale, IA 50322-7907

Phone

(515) 217-4256

NPI assigned

Dec 14, 2022

Organization subpart

Yes

Parent organization

LTC PHARMCO LLCAs reported in NPPES

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

Authorized official

Name

Charles HartigNPI 1568086874

Title

Board Member

Phone

(563) 588-8700

Specialties & licenses 1

Addresses

Other names 1

• TrueMed Pharmacy 02 Doing business as

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• LTC Pharmco LLC

  • Long Term Care Pharmacy
  • Hiawatha, IA
  • NPI 1922710631

  8820516107

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• LTC Pharmco LLC

  • Long Term Care Pharmacy
  • Hiawatha, IA
  • NPI 1922710631

  O20250825003575

  Same enrollment

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

Tax ID family

LTC Pharmco LLC2 organizations share this tax ID, including this one

Part of

LTC Pharmco LLC

Other organizations with this tax ID 1

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

• LTC Pharmco LLC

  • Long Term Care Pharmacy
  • Hiawatha, IA
  • NPI 1922710631
  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.

• LTC Pharmco LLC

  • Long Term Care Pharmacy
  • Hiawatha, IA
  • NPI 1922710631
  NPPES parent name

Practitioners 1

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

• Charles Hartig, PHARMD

  • Pharmacist
  • Dubuque, IA
  • NPI 1568086874
  NPD Authorized official

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1972215697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MAIN ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016814",
            "telephone_number": "563-588-8700",
            "fax_number": "563-588-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11376 AURORA AVE BLDG 10",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227907",
            "telephone_number": "515-217-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PHARMCO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LTC PHARMCO LLC",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "HARTIG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "563-588-8700"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TrueMed Pharmacy 02",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Urbandale, IA
• Providers in Urbandale, 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 14, 2022; 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.