KALLENBACH DRUG INC (NPI# 1144732330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144732330 |
| Entity Type | Organization |
| Organization Name | KALLENBACH DRUG INC |
| Other Organization Name | WIDNER DRUG |
| Practice Address |
111 S Franklin St Manchester IA 52057-2132 |
| Mailing Address |
121 Circle Dr Manchester IA 52057-1303 |
| Practice Telephone | 5632495679 |
| Mailing Telephone | 5632495679 |
| Enumeration Date | 2017-10-29 |
| Last Update Date | 2017-10-29 |
| Authorized Official Name | DR. JONATHAN KALLENBACH (OWNER/PHARMACIST) |
| Authorized Official Telephone | 5632495679 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 1617 | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| Widner Drug | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| Street Address |
111 S FRANKLIN ST |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1609149749 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2012-02-21 |
| 1861589848 | Ross V Snyder | Pharmacist | 111 S Franklin St, Manchester, IA 52057-2132 | 2006-10-09 |
| 1285747329 | Robert Allen Sack | Pharmacist | 111 S Franklin St, Manchester, IA 52057-2132 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407386246 | Jennifer Ann Hentges | Social Worker | 118 West Main Professional Park Building, Manchester, IA 52057 | 2017-06-14 |
| 1588193940 | Lucas Richard Fangmann | Physical Therapist | 313 Quaker Mill Dr, Manchester, IA 52057 | 2017-06-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1215072723 | Delaware County Community Services | Case Management | 601 Grant St, Manchester, IA 52057 | 2007-02-21 |
| 1336105030 | David L James | Chiropractor | 200 N Franklin, Manchester, IA 52057 | 2006-04-22 |
| 1770551814 | Jason N Nolz | Chiropractor | 953 E Main, Manchester, IA 52057 | 2006-03-14 |
| 1538140405 | Thomas Joseph Kafka | Emergency Medicine | Regional Medical Center, 709 West Main St., Manchester, IA 52057 | 2005-11-08 |
| 1255818878 | Melissa Wessels | Chiropractor | 105 E Butler St, Manchester, IA 52057 | 2018-07-26 |
| 1851603930 | Mary Jo Shover | Licensed Practical Nurse | 909 W Main St, Ste 2, Manchester, IA 52057 | 2010-07-06 |
| 1417094749 | Timothy Dale Cooper | Dentist | 825 E Main St, Manchester, IA 52057 | 2007-01-30 |
| Find all providers in zip 52057 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144728452 | Genoa Healthcare, LLC | Pharmacy | 2 Wall St Ste 102, Manchester, NH 03101-1518 | 2018-02-01 |
| 1861581498 | Big Y Foods Inc | Pharmacy | 234 Tolland Tpke, Manchester, CT 06040-1744 | 2006-10-12 |
| 1477668259 | Perlmart of Manchester Township Inc | Pharmacy | 1001 Route 70, Manchester, NJ 08759 | 2006-08-20 |
| 1346353976 | Kens Pharmacy Inc. | Pharmacy | 36 Elm St, Manchester, NH 03101-2724 | 2006-08-17 |
| 1578578175 | Westown Pharmacy Inc | Pharmacy | 455 Hartford Rd, Manchester, CT 06040-5729 | 2006-07-30 |
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1164450128 | Freds Stores of Tennessee Inc | Pharmacy | 1105 Warm Springs Hwy, Manchester, GA 31816-1167 | 2006-06-29 |
| 1275537730 | Manchester Pharmacy Inc | Pharmacy | 3321 Main St, Unit A1, Manchester, MD 21102-1790 | 2005-06-11 |
| 1487128450 | Grace Community Health Center Inc | Pharmacy | 85 Highway 80, Manchester, KY 40962-8801 | 2019-01-14 |
| 1093205346 | Southland Pharmacy LLC | Pharmacy | 482 Interstate Dr Ste K, Manchester, TN 37355 | 2018-05-12 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
Please comment or provide details below to improve the information on KALLENBACH DRUG INC.
| 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.