NIEDERMANN PHARMACY INC (NPI# 1083693410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083693410 |
| Entity Type | Organization |
| Organization Name | NIEDERMANN PHARMACY INC |
| Other Organization Name | BLARIS FERRY FAMILY PHARMACY |
| Practice Address |
1790 Blairs Ferry Rd Hiawatha IA 52233-2033 |
| Practice Telephone | 3193934944 |
| Practice Fax Number | 3193936655 |
| Mailing Telephone | 3193934944 |
| Mailing Fax Number | 3194381094 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2016-12-02 |
| Authorized Official Name | DOUG NIEDERMANN (PRESIDENT) |
| Authorized Official Telephone | 3193934944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1492 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2143902 | 01 |
| Other Name | Type Code |
|---|---|
| Blaris Ferry Family Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1578199816 | Niedermann Pharmacy Inc | Pharmacy | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2020-03-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NIEDERMANN PHARMACY INC. | 1790 Blairs Ferry Rd, Hiawatha, IA 52233 |
| Street Address |
1790 BLAIRS FERRY RD |
| City | HIAWATHA |
| State | IA |
| Zip Code | 52233-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184619611 | Angela D Dolphin | Physician Assistant | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2005-09-12 |
| 1578199816 | Niedermann Pharmacy Inc | Pharmacy | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2020-03-18 |
| 1750923348 | Susan Kay Hacke | Pharmacist | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2019-10-15 |
| 1326695818 | Doug Niedermann | Pharmacist | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2019-08-20 |
| 1811141765 | Stephanie Robinson | Nurse Practitioner | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2008-11-05 |
| 1962608406 | Mercy Physician Associates, Inc | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2007-06-22 |
| 1548220668 | Timothy Quinn | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-24 |
| 1598725616 | Timothy Sagers | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-24 |
| 1497715676 | Bradley Beer | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-23 |
| 1912966763 | Shane Kasner | Family Medicine | 1790 Blairs Ferry Rd, Hiawatha, IA 52233-2033 | 2006-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336707249 | Jenna Haganman | Dentist | 1090 Sherman Rd, Hiawatha, IA 52233 | 2019-06-05 |
| 1548771629 | Alicia Means | Counselor | 1811 Boyson Rd Ste A, Hiawatha, IA 52233 | 2017-10-17 |
| 1740732270 | Pamela Jean Severson | Counselor | 1350 Boyson Rd Ste D2, Hiawatha, IA 52233 | 2016-11-01 |
| 1902174006 | Excel Chiropractic and Rehab PC | Chiropractor | 1625 Boyson Rd., Suite 104, Hiawatha, IA 52233 | 2011-12-05 |
| 1992099055 | Ross Robert Hausmann | Chiropractor | 1625 Boyson Rd Ste 104, Hiawatha, IA 52233 | 2011-06-07 |
| 1669605937 | Wickwire Chiropractic and Wellness Center P.C. | Chiropractor | 1690 Blairs Ferry Rd, Hiawatha, IA 52233 | 2009-09-02 |
| 1861622292 | Lee Adam Wickwire | Chiropractor | 1690 Blairs Ferry Road, Hiawatha, IA 52233 | 2009-07-20 |
| 1619127388 | Kara Charlotte Gillund | Physical Therapist | 400 Blairsferry Crossing, Hiawatha, IA 52233 | 2008-09-30 |
| 1316105265 | Stephen Edwin Broad | Dentist | 1055 North Center Point Road, Hiawatha, IA 52233 | 2008-05-28 |
| 1699820597 | City of Hiawatha | Ambulance | 60 10th Avenue, Hiawatha, IA 52233 | 2007-01-24 |
| Find all providers in zip 52233 | ||||
| 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.