Prescription Shoppe Telepharmacy, LLC
Organization Active NPI Community/Retail Pharmacy · Postville, IA
NPI 1982111415 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1982111415
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1632 (IA)
- Legal business name
- PRESCRIPTION SHOPPE TELEPHARMACY, LLC
- Practice address
- 139 N Lawler St
Postville, IA 52162 - Phone
- (563) 863-3666
- Fax
- (563) 863-3667
- NPI assigned
- Jan 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Eric Nightingale
- Title
- Treasurer
- Phone
- (702) 780-9548
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Prescription Shoppe Telepharmacy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1632 | IA | Yes |
| Community/Retail Pharmacy | 3336C0003X |
Addresses
Primary practice location
139 N Lawler St
Postville, IA 52162
Mailing address
1020 12TH Ave SE
Dyersville, IA 52040-1964
Phone (563) 875-7455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0711538 | Medicaid | IA | |
| 2176730 | Other | PK |
Other names
- Nightingale Drug
Other providers in Postville, IA
- Thomas George McMullan
- C. Sue Mueller
- Palmer Lutheran Health Center, Inc.
- Postville Community Schools
- Prescription Shoppe Telepharmacy, LLC
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- Thomas G. McMullan
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All providers in Postville, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.