KALLENBACH DRUG INC (NPI# 1609149749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609149749 |
| Entity Type | Organization |
| Organization Name | KALLENBACH DRUG INC |
| Other Organization Name | WIDNER DRUG STORE |
| Practice Address |
111 S Franklin St Manchester IA 52057 |
| Mailing Address |
Po Box 99 Manchester IA 52057-0099 |
| Practice Telephone | 5639274755 |
| Practice Fax Number | 5639274110 |
| Mailing Telephone | 5639274755 |
| Mailing Fax Number | 5639274110 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | DR. JONATHAN KALLENBACH (OWNER- PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 5639274463 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
188 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1624205 | 01 |
| Other Name | Type Code |
|---|---|
| Widner Drug Store | 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 |
| 1144732330 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057-2132 | 2017-10-29 |
| Street Address |
111 S FRANKLIN ST |
| City | MANCHESTER |
| State | IA |
| Zip Code | 52057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841212966 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057 | 2006-07-25 |
| 1144732330 | Kallenbach Drug Inc | Pharmacy | 111 S Franklin St, Manchester, IA 52057-2132 | 2017-10-29 |
| 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 | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
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|---|---|---|---|---|
| 1700423654 | Southland Ltc Pharmacy | Pharmacy | 482 Interstate Dr Ste L, Manchester, TN 37355-3485 | 2019-12-10 |
| 1437761848 | Brehme Drug Inc | Pharmacy | 220 E Main St, Manchester, IA 52057-1733 | 2020-08-18 |
| 1861778581 | Manchester Pharmacy LLC | Pharmacy | 348 Main St, Manchester, CT 06040-4123 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864950 | Pm Acquisition, LLC | Pharmacy | 4927 Maple Dr Ste 200, Pleasant Hill, IA 50327-2030 | 2019-11-05 |
| 1992348882 | Pharmscript of Ia LLC | Pharmacy | 2601 104th St Ste 300, Urbandale, IA 50322-3954 | 2019-10-23 |
| 1063070985 | Pm Acquisition, LLC | Pharmacy | 107 W Main St Ste B, Ottumwa, IA 52501-2542 | 2019-06-05 |
| 1720543812 | Greenfield Pharmacy LLC | Pharmacy | 202 Se Kent St Ste 1, Greenfield, IA 50849-1411 | 2019-02-04 |
| 1508339425 | Pm Acquisition, LLC | Pharmacy | 2039 Crossroads Blvd Ste B, Waterloo, IA 50702-4403 | 2019-01-03 |
| 1427533165 | Consultant Pharmacists Inc | Pharmacy | 714 Illinois St, Sidney, IA 51652-8027 | 2018-09-28 |
| 1912486226 | Gbank Health LLC | Pharmacy | 617 8th Ave Se Ste C, Cedar Rapids, IA 52401-2117 | 2018-08-08 |
| 1811475064 | Gbank Health LLC | Pharmacy | 876 Tanglefoot Ln, Bettendorf, IA 52722-1605 | 2018-07-31 |
| 1588175103 | L & M Pharmacy Care | Pharmacy | 2526 Glenn Ave, Sioux City, IA 51106-2768 | 2017-10-23 |
| 1609393917 | Lewis Family Drug, LLC | Pharmacy | 528 S 3rd St, Moville, IA 51039 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 52057 |
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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.