Heg-Jorg Inc

Key facts

NPI

1972679744

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

874 (IA)

Legal business name

HEG-JORG INC

Practice address

504 14TH St
Dallas Center, IA 50063-2075

Phone

(515) 992-3784

Fax

(515) 992-4067

NPI assigned

Nov 25, 2006

Organization subpart

No

Authorized official

Name

Mr. Steven Edward Schlafke, RPH NPI 1528524469

Title

Pharmacy Managerowner

Phone

(515) 992-4823

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

Practitioners 1

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

• Steven Edward Schlafke Pharmacist · Dallas Center, IA · NPI 1528524469
  NPD (past) Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• Medicap Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972679744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 14TH ST",
            "address_2": "PO BOX 369",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "500632075",
            "telephone_number": "515-992-3784",
            "fax_number": "515-992-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 14TH ST",
            "city": "DALLAS CENTER",
            "state": "IA",
            "postal_code": "500632075",
            "telephone_number": "515-992-3784",
            "fax_number": "515-992-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEG-JORG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SCHLAFKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PHARMACY MANAGEROWNER",
        "authorized_official_telephone_number": "515-992-4823",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "1620067",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194027",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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