NISHNA VALLEY PHARMACY (NPI# 1609936962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609936962 |
| Entity Type | Organization |
| Organization Name | NISHNA VALLEY PHARMACY |
| Practice Address |
1208 W Nishna Rd Shenandoah IA 51601-2116 |
| Practice Telephone | 7122463440 |
| Practice Fax Number | 7122462811 |
| Mailing Telephone | 7122463440 |
| Mailing Fax Number | 7122462811 |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WARREN A NARDUCCI (PRESIDENT) |
| Authorized Official Telephone | 7122463440 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 156 | IA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
156 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0215178 | 05 |
| Street Address |
1208 W NISHNA RD |
| City | SHENANDOAH |
| State | IA |
| Zip Code | 51601-2116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265591150 | Paula Ann Carlson | Pharmacist | 1208 W Nishna Rd, Shenandoah, IA 51601-2116 | 2006-12-06 |
| 1528186640 | Page County | Public Health or Welfare | 1208 W Nishna Rd, Suite B, Shenandoah, IA 51601-2116 | 2007-03-27 |
| 1861549222 | Apothecare, Ltd. | Pharmacy | 1208 W Nishna Rd, Shenandoah, IA 51601-2116 | 2007-01-05 |
| 1255491502 | Warren A Narducci | Pharmacist | 1208 W Nishna Rd, Shenandoah, IA 51601-2116 | 2006-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336589969 | Jenifer Ann Deziel | Nurse Practitioner | Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 | 2013-06-27 |
| 1154621282 | Md West One, PC | Neurological Surgery | 1 Jack Foster Drive, Shenandoah, IA 51601 | 2010-10-22 |
| 1912119124 | Swfac Plc | Podiatrist | 813 Church St., Shenandoah, IA 51601 | 2007-05-03 |
| 1134246895 | David Carroll Dickson | Pedorthist | 612 W. Sheridan Avenue, Shenandoah, IA 51601 | 2007-03-26 |
| 1558433037 | Joseph Patrick Emge | Dentist | 301 Maple St, Suite 3, Shenandoah, IA 51601 | 2006-11-14 |
| 1487766309 | Scott Richard King | Obstetrics & Gynecology | 300 Pershing Avenue, Shenandoah, IA 51601 | 2006-08-31 |
| 1801904933 | Marvin E Belknap | Dentist | 617 West Thomas, Shenandoah, IA 51601 | 2006-08-28 |
| 1083687636 | Charles J Peterson Dc PC | Chiropractor | 1203 W Sheridan Ave, Shenandoah, IA 51601 | 2006-02-13 |
| 1467692152 | Carol A Stehlik | Nutritionist | 300 Pershing Avenue, Shenandoah, IA 51601-0382 | 2009-02-20 |
| 1265526248 | Nishna Productions, Inc. | Community/Behavioral Health | 902 Day St, Shenandoah, IA 51601-1106 | 2006-10-03 |
| Find all providers in zip 51601 | ||||
| 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 |
|---|---|---|---|---|
| 1972880797 | Lifechek Rx Group LLC | Pharmacy | 1490 Research Forest Dr, Shenandoah, TX 77381-4370 | 2011-11-08 |
| 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 | ||||
| City | SHENANDOAH |
| Zip Code | 51601 |
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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.