IOWA CVS PHARMACY LLC (NPI# 1366811291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366811291 |
| Entity Type | Organization |
| Organization Name | IOWA CVS PHARMACY LLC |
| Other Organization Name | CVS PHARMACY # 10452 |
| Practice Address |
2420 Lincoln Way Ste 104 Ames IA 50014-7217 |
| Mailing Address |
1 Cvs Dr Po Box 1075 - Pharmacy Enrollment Woonsocket RI 02895-6146 |
| Practice Telephone | 5152922990 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0504141 | 05 | |
| IA | NCPDP | 1625144 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 10452 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1962828897 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2303 Merle Hay Rd, Des Moines, IA 50310-1140 | 2014-03-17 |
| 1205261575 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2029 5th Ave. South, Fort Dodge, IA 50501 | 2013-09-05 |
| 1306287669 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3151 Se 14th St, Des Moines, IA 50320-1317 | 2013-07-15 |
| 1043556988 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 104 E. 1st St, Ankeny, IA 50021-1703 | 2012-12-21 |
| 1891043717 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3495 7th Ave, Marion, IA 52302-3735 | 2012-08-27 |
| 1063790178 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3419 16th Ave Sw, Cedar Rapids, IA 52404-2326 | 2011-07-25 |
| 1710281670 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1441 Coral Ridge Ave, Coralville, IA 52241-2801 | 2011-01-06 |
| 1578798690 | Iowa Cvs Pharmacy LLC | Pharmacy | 214 Viking Plaza Dr, Cedar Falls, IA 50613-6936 | 2009-05-19 |
| 1407092844 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3804 Metro Dr, Council Bluffs, IA 51501-7732 | 2009-01-06 |
| Street Address |
2420 LINCOLN WAY STE 104 |
| City | AMES |
| State | IA |
| Zip Code | 50014-7217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304819 | Erica Ostrem | Physical Therapy Assistant | 2200 Hamilton Drive, Ste 100, Ames, IA 50014 | 2016-01-28 |
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1578774964 | Anna Marie Weber | Occupational Therapist | 2202 228th Pl, Ames, IA 50014 | 2007-05-25 |
| 1053534107 | Rienera Suzanne Sivesind | Family Medicine | 2724 Meadow Glen Rd, Ames, IA 50014 | 2007-04-10 |
| 1073667606 | Elizabeth Mccurdy | Family Medicine | 3510 Lincoln Way, Ames, IA 50014 | 2007-01-22 |
| 1114991320 | Kimberly Benton-herzberg | Counselor | 118 Hayward Ave Suite 8, Ames, IA 50014 | 2006-02-14 |
| 1275517864 | Lynda Elayne Wilson | Nurse Practitioner | 113 Colorado Ave, Suite 105, Ames, IA 50014 | 2005-12-06 |
| 1437146016 | Lisa M. Banitt | Obstetrics & Gynecology | 2530 Chamberlain St, Ames, IA 50014 | 2005-09-29 |
| 1720328750 | Jennifer Marie Devore | Nurse Practitioner | 2530 Chamberlain St, Ames, IA 50014 | 2013-02-28 |
| 1518109123 | Timothy James Hansen | Dermatology | 3600 W Lincoln Way, Mcfarland Clinic, PC, Ames, IA 50014 | 2009-03-27 |
| Find all providers in zip 50014 | ||||
| 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 |
|---|---|---|---|---|
| 1972521862 | Nudak Ventures LLC | Pharmacy | 2709 Northridge Pkwy, Ames, IA 50010-4097 | 2006-07-18 |
| 1114958188 | K Mart Corp | Pharmacy | 1405 Buckeye Ave, Ames, IA 50010-8068 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478868 | Prescription Shoppe, Inc | Pharmacy | 606 Rossville Rd, Waukon, IA 52172-2228 | 2020-08-18 |
| 1851910681 | Daniel Teague | Pharmacy | 304 E Ferndale Dr, Council Bluffs, IA 51503-4880 | 2020-04-12 |
| 1972169282 | Hughes Pharmacy Services Inc. | Pharmacy | 105 South Broadway Avenue, West Bend, IA 50597 | 2019-05-13 |
| 1770044315 | Niedermann Pharmacy Inc | Pharmacy | 112 E Washington St., Monroe, IA 50170 | 2019-03-27 |
| 1104385806 | Pca Iowa Rx, LLC | Pharmacy | 4307 Nw Urbandale Dr, Urbandale, IA 50322-7910 | 2019-03-13 |
| 1740750488 | Preston James Witt | Pharmacy | 13687 Summit Drive, Clive, IA 50325-5032 | 2018-11-26 |
| 1235635285 | Des Moines Central Correctional Pharmacy | Pharmacy | 250 Elm Ave Sw, Mitchellville, IA 50169-9610 | 2018-03-30 |
| 1982111415 | Prescription Shoppe Telepharmacy LLC | Pharmacy | 139 N Lawler St, Postville, IA 52162 | 2018-01-05 |
| 1962929505 | Genoa Healthcare, LLC | Pharmacy | 1441 W Central Park Ave Ste 53, Davenport, IA 52804-1707 | 2017-08-24 |
| 1457803876 | Central Iowa Hospital Corporation | Pharmacy | 3625 N Ankeny Blvd, Suite A, Ankeny, IA 50023-4610 | 2016-11-02 |
| 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.