Prescription Shoppe Telepharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1632 Issued in IA

Legal business name

PRESCRIPTION SHOPPE TELEPHARMACY, LLC

Doing business as

Nightingale Drug

Practice address

139 N Lawler St
Postville, IA 52162

Phone

(563) 863-3666

Fax

(563) 863-3667

NPI assigned

Jan 5, 2018

Last updated

Mar 21, 2023By 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

Eric Nightingale

Title

Treasurer

Phone

(702) 780-9548

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Nightingale Drug Doing business as

Tax ID family

Prescription Shoppe Telepharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prescription Shoppe Telepharmacy, LLC

  dba Nightingale Drug

  • Community/Retail Pharmacy
  • Postville, IA
  • NPI 1124512223
  NPD tax ID

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1982111415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 12TH AVE SE",
            "city": "DYERSVILLE",
            "state": "IA",
            "postal_code": "520401964",
            "telephone_number": "563-875-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N LAWLER ST",
            "city": "POSTVILLE",
            "state": "IA",
            "postal_code": "52162",
            "telephone_number": "563-863-3666",
            "fax_number": "563-863-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCRIPTION SHOPPE TELEPHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "NIGHTINGALE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-780-9548"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0711538",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176730",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nightingale Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas George McMullan, M.D.
• C. Sue Mueller, LMHC,LMFT
• Palmer Lutheran Health Center, Inc. (Gundersen Palmer Lutheran Hospital and Clinics - Postville)
• Postville Community Schools
• Prescription Shoppe Telepharmacy, LLC (Nightingale Drug)
• RW Kolarich Family Dentistry
• Thomas G. McMullan (Postville Clinic AKA Postville Medical Clinic)
• Transfer Master Products, Inc
• Veterans Memorial Hospital City of Waukon Ia (VMH Medical Clinic Postville)

• Community/Retail Pharmacy in Postville, IA
• Providers in Postville, 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 Mar 21, 2023; 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.