DES MOINES CENTRAL CORRECTIONAL PHARMACY (NPI# 1235635285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235635285 |
| Entity Type | Organization |
| Organization Name | DES MOINES CENTRAL CORRECTIONAL PHARMACY |
| Other Organization Name | DES MOINES CENTRAL CORRECTIONAL PHARMACY |
| Practice Address |
250 Elm Ave Sw Mitchellville IA 50169-9610 |
| Practice Telephone | 5157255065 |
| Practice Fax Number | 5157255070 |
| Mailing Telephone | 5157255065 |
| Mailing Fax Number | 5157255070 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Authorized Official Name | KATHY LEE (PHARMACY SUPERVISOR) |
| Authorized Official Telephone | 5157255065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
1456 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176604 | 01 |
| Other Name | Type Code |
|---|---|
| Des Moines Central Correctional Pharmacy | Doing Business As Name - Organization |
| Street Address |
250 ELM AVE SW |
| City | MITCHELLVILLE |
| State | IA |
| Zip Code | 50169-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891713426 | Susan Margaret Shields | Pharmacist | 250 Elm Avenue Sw, Mitchellville, IA 50169 | 2006-07-18 |
| 1992736631 | City of Mitchellville | Public Health or Welfare | 110 2nd St. Ne, Mitchellville, IA 50169 | 2006-07-05 |
| 1295054997 | Steven Michael Cook | General Practice | 300 Elm St Sw, Box 700, Mitchellville, IA 50169-4719 | 2010-05-20 |
| 1679566392 | Qhc Mitchellville LLC | Skilled Nursing Facility | 114 Carter St Sw, Mitchellville, IA 50169-5000 | 2005-08-28 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1073570446 | Thomas Paul Treska | Dentist | 300 Elm Ave Sw, Mitchellville, IA 50169-7726 | 2006-04-28 |
| 1558736447 | Timothy Kadel | Non-emergency Medical Transport (VAN) | 315 Elm Ave Sw, Mitchellville, IA 50169-9629 | 2015-12-03 |
| 1083077721 | Kadel Medical Services, LLC | Non-emergency Medical Transport (VAN) | 315 Elm Ave Sw, Mitchellville, IA 50169-9629 | 2016-03-31 |
| 1366729204 | Jason Mooney | Chiropractor | 301 Center Ave S, Mitchellville, IA 50169-9751 | 2011-11-07 |
| 1972880698 | Mitchellville Family Chiropractic P. C. | Chiropractor | 301 Center Ave S, Mitchellville, IA 50169-9751 | 2011-11-09 |
| Find all providers in zip 50169 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 |
|---|---|---|---|---|
| 1407349038 | Marengo Memorial Hospital | Pharmacy | 300 W May St, Marengo, IA 52301-1261 | 2018-06-08 |
| 1295125227 | Sioux Valley Memorial Hospital Association | Pharmacy | 300 Sioux Valley Dr, Cherokee, IA 51012-1205 | 2015-01-29 |
| 1962567081 | State of Iowa Human Services Mt. Pleasant | Pharmacy | 1200 E Washington St, Mt Pleasant, IA 52641-1804 | 2006-12-27 |
| 1760561633 | The Finley Hospital | Pharmacy | 350 N Grandview Ave, Dubuque, IA 52001-6388 | 2006-11-03 |
| 1801977335 | Sanford Health Network | Pharmacy | 118 N 7th Ave, Sheldon, IA 51201-1235 | 2006-10-18 |
| 1649360561 | Greater Regional Medical Center | Pharmacy | 1700 W Townline St, Creston, IA 50801-1054 | 2006-10-13 |
| City | MITCHELLVILLE |
| Zip Code | 50169 |
Please comment or provide details below to improve the information on DES MOINES CENTRAL CORRECTIONAL PHARMACY.
| 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.