DEWITT PHARMACY INC (NPI# 1013928522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013928522 |
| Entity Type | Organization |
| Organization Name | DEWITT PHARMACY INC |
| Other Organization Name | SCOTT DRUG CLINIC PHARMACY |
| Practice Address |
1021 11th St De Witt IA 52742-1209 |
| Mailing Address |
629 6th Ave De Witt IA 52742-1635 |
| Practice Telephone | 5636598910 |
| Practice Fax Number | 5636598411 |
| Mailing Telephone | 5636595042 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | DENNIS BOUSSELOT (PRESIDENT) |
| Authorized Official Telephone | 5636595042 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 1228 | IA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0419267 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1621831 | 01 |
| Other Name | Type Code |
|---|---|
| SCOTT DRUG CLINIC PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174630735 | Dewitt Pharmacy Inc | Pharmacy | 629 6th Ave, De Witt, IA 52742-1635 | 2006-08-23 |
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| Street Address |
1021 11TH ST |
| City | DE WITT |
| State | IA |
| Zip Code | 52742-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619927126 | Steven C Fowler | Family Medicine | 1021 11th St, De Witt, IA 52742-1209 | 2006-05-12 |
| 1235793829 | Mercy Specialty Clinic | Family Medicine | 1021 11th St, De Witt, IA 52742-1209 | 2019-04-29 |
| 1437470499 | Life Rx Inc | Pharmacy | 1021 11th St, De Witt, IA 52742-1209 | 2010-06-14 |
| 1124072814 | Medical Associates of Clinton, Iowa, P.l.c. | Family Medicine | 1021 11th St, De Witt, IA 52742-1209 | 2006-05-19 |
| 1831141043 | Peter J Laureijs | Family Medicine | 1021 11th St, De Witt, IA 52742-1209 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400106 | Samantha Wagler | Dentist | 923 6th Avenue, Dewitt, IA 52742 | 2020-09-03 |
| 1760808810 | Tracy Lynn Weller | Physical Therapy Assistant | 1331 5th Ave., Dewitt, IA 52742 | 2014-03-13 |
| 1255599981 | Patricia Ann Sheil | Chiropractor | 604 10th Street, Dewitt, IA 52742 | 2008-05-29 |
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| 1083105639 | Cram Chiropractic, Pllc | Chiropractor | 602 12th Street, De Witt, IA 52742 | 2018-05-18 |
| 1780904854 | Life Rx Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2010-06-10 |
| 1528281094 | Jennifer Joan Walker | Pharmacist | 629 6th Ave, Scott Thrifty White Drug, Dewitt, IA 52742 | 2007-04-11 |
| 1932263639 | James Harland Demong | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-20 |
| 1114080603 | Patti Sue Rose Trenkamp | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| 1629131156 | Dennis C Bousselot | Pharmacist | 629 6th Ave, Dewitt, IA 52742 | 2006-12-18 |
| Find all providers in zip 52742 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.