NPIMap

Organization Active NPI

Palmer Outpatient Pharmacy

  • Community/Retail Pharmacy
  • West Union, IA
National Provider Identifier
1992915482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
30 Issued in IA
Legal business name
PALMER OUTPATIENT PHARMACY
Practice address
112 Jefferson St
West Union, IA 52175-1022
Phone
(563) 422-3811
Fax
(563) 422-9754
NPI assigned
May 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Debrah Chensvold
Title
Ceo
Phone
(563) 422-3811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 30 IA Primary

Addresses

Primary practice location

112 Jefferson St
West Union, IA 52175-1022

Mailing address

112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811

National Provider Directory

National Provider Directory
Tax ID family
Palmer Lutheran Health Center Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992915482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751022",
            "telephone_number": "563-422-3811",
            "fax_number": "563-422-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON ST",
            "city": "WEST UNION",
            "state": "IA",
            "postal_code": "521751022",
            "telephone_number": "563-422-3811",
            "fax_number": "563-422-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER OUTPATIENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHENSVOLD",
        "authorized_official_first_name": "DEBRAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-422-3811"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.