DEWITT PHARMACY INC (NPI# 1174630735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174630735 |
| Entity Type | Organization |
| Organization Name | DEWITT PHARMACY INC |
| Other Organization Name | SCOTT THRIFTY WHITE DRUG |
| Practice Address |
629 6th Ave De Witt IA 52742-1635 |
| Practice Telephone | 5636595042 |
| Practice Fax Number | 5636595044 |
| Mailing Telephone | 5636595042 |
| Mailing Fax Number | 5636595044 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | DENNIS BOUSSELOT (PRES) |
| 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 | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
280 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0143404 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1610167 | 01 |
| Other Name | Type Code |
|---|---|
| SCOTT THRIFTY WHITE DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205847340 | Dewitt Pharmacy Inc | Pharmacy | 609 7th Ave, Dewitt, IA 52742 | 2006-08-11 |
| 1013928522 | Dewitt Pharmacy Inc | Pharmacy | 1021 11th St, De Witt, IA 52742-1209 | 2006-08-10 |
| Street Address |
629 6TH AVE |
| City | DE WITT |
| State | IA |
| Zip Code | 52742-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679078760 | Kaylee Hall | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2018-03-29 |
| 1770952673 | Bobby Jo Kessler Mosier | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2015-09-21 |
| 1154733426 | Ashley Butt | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2014-05-21 |
| 1255652210 | Life Rx Inc | Durable Medical Equipment & Medical Supplies | 629 6th Ave, De Witt, IA 52742-1635 | 2010-06-14 |
| 1073658910 | Kevin J Reilly | Pharmacist | 629 6th Ave, De Witt, IA 52742-1635 | 2007-02-20 |
| 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 |
| 1346215811 | Mervin R Hassebrock | Optometrist | 1107 9th Ave, De Witt, IA 52742-0050 | 2006-02-20 |
| 1043281355 | Ora Orthopedics, PC | Durable Medical Equipment & Medical Supplies | 900 14th St, De Witt, IA 52742-1004 | 2006-01-27 |
| 1932315199 | Rock Valley Physical Therapy Center | Occupational Therapist | 900 14th St, De Witt, IA 52742-1004 | 2007-05-15 |
| 1821048026 | Ashley L Steffens | Physical Therapist | 900 14th St, De Witt, IA 52742-1004 | 2006-05-11 |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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.