STELINHOS BEAVERDALE LLC (NPI# 1457405805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457405805 |
| Entity Type | Organization |
| Organization Name | STELINHOS BEAVERDALE LLC |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
2804 Beaver Ave Des Moines IA 50310-4038 |
| Practice Telephone | 5152773702 |
| Practice Fax Number | 5152773703 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | LINDSEY LUDWIG (OWNER PHARMACIST) |
| Authorized Official Telephone | 5152773702 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 1222 | IA | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0418020 | 05 | |
| IA | DEA # | BM8524161 | 01 |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 1621689 | 01 |
| Other Name | Type Code |
|---|---|
| MEDICAP PHARMACY | Doing Business As Name - Organization |
| Street Address |
2804 BEAVER AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760963185 | Janelle Beal | Pharmacist | 2804 Beaver Ave, Des Moines, IA 50310-4038 | 2018-08-23 |
| 1023506003 | Adam Zimbeck | Pharmacist | 2804 Beaver Ave, Des Moines, IA 50310-4038 | 2018-04-25 |
| 1942452230 | Grx Holdings, LLC | Durable Medical Equipment & Medical Supplies | 2804 Beaver Ave, Des Moines, IA 50310-4038 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| 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 |
|---|---|---|---|---|
| 1033655360 | Hy Vee Inc | Pharmacy | 420 Court Ave, Des Moines, IA 50309-2237 | 2017-01-10 |
| 1508294620 | Cerner Health Connections, Inc | Pharmacy | 750 Park St, Cerner Health Connections, Inc, Des Moines, IA 50309-1607 | 2013-10-29 |
| 1316081938 | Bauder Pharmacy Inc | Pharmacy | 3802 Ingersoll Ave, Des Moines, IA 50312-3413 | 2007-02-16 |
| 1700954781 | Des Moines Drug Store Inc | Pharmacy | 627 So 227th St, Des Moines, WA 98198-6827 | 2006-11-30 |
| 1699785048 | Foods Inc | Pharmacy | 3400 E 33rd St, Des Moines, IA 50317-3835 | 2006-08-08 |
| 1982619292 | Walgreen Co | Pharmacy | 104 E Euclid Ave, Des Moines, IA 50313-4507 | 2006-07-29 |
| 1891700100 | Walgreen Co | Pharmacy | 3501 Ingersoll Ave, Des Moines, IA 50312-3406 | 2006-07-29 |
| 1154344471 | Iowa Cvs Pharmacy LLC | Pharmacy | 5901 Douglas Ave, Des Moines, IA 50322-3303 | 2006-07-26 |
| 1487671046 | Dgs-acquisitions LLC | Pharmacy | 3425 Ingersoll Ave, Des Moines, IA 50312-3915 | 2006-07-17 |
| 1164455218 | Dgs-acquisitions LLC | Pharmacy | 4121 Fleur Dr, Des Moines, IA 50321-2323 | 2006-07-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50310 |
Please comment or provide details below to improve the information on STELINHOS BEAVERDALE LLC.
| 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.