ESTHERVILLE PHARMACY, L.L.C. (NPI# 1700412988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700412988 |
| Entity Type | Organization |
| Organization Name | ESTHERVILLE PHARMACY, L.L.C. |
| Other Organization Name | ESTHERVILLE PHARMACY (LTC) |
| Practice Address |
1804 Central Ave Estherville IA 51334-2465 |
| Practice Telephone | 4026506014 |
| Mailing Telephone | 4026506014 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | JOSHUA BORER (PRESIDENT) |
| Authorized Official Telephone | 4026506014 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Estherville Pharmacy | Doing Business As Name - Organization |
| Estherville Pharmacy (LTC) | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063562890 | Estherville Pharmacy, L.L.C. | Pharmacy | 1804 Central Ave, Estherville, IA 51334-2465 | 2007-01-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | ESTHERVILLE PHARMACY, L.L.C. | 1607 E 7th St., Atlantic, IA 50022 |
| Street Address |
1804 CENTRAL AVE |
| City | ESTHERVILLE |
| State | IA |
| Zip Code | 51334-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063562890 | Estherville Pharmacy, L.L.C. | Pharmacy | 1804 Central Ave, Estherville, IA 51334-2465 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235760125 | Rebecca Nosbusch | Social Worker | 1801 E Central Ave, Estherville, IA 51334 | 2020-01-29 |
| 1558694117 | Alan M. Blake D.d.s. | Dentist | 808 N. 9th St., Estherville, IA 51334 | 2009-09-15 |
| 1174619266 | Gregory James Williams | Dentist | 326 W Central Ave, Estherville, IA 51334 | 2006-10-05 |
| 1770679862 | Dennis Don Bruns | Dentist | W326 Central Avenue, Estherville, IA 51334 | 2006-10-05 |
| 1326059023 | Moreau Chiropractic Clinic | Chiropractor | 1820 Central Avenue, Estherville, IA 51334 | 2006-08-10 |
| 1194707331 | Signature Properties of Estherville, LLC | Skilled Nursing Facility | 2001 1st Ave. North, Estherville, IA 51334 | 2005-11-15 |
| 1386694412 | Randy C. Asman | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2006-05-11 |
| 1699130807 | Sarah Elizabeth Walker-loring | Nurse Practitioner | 926 N 8th St, Estherville, IA 51334-1300 | 2015-12-15 |
| 1134417694 | Ashley Jae Dean | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2011-07-19 |
| 1083873756 | Anthony Ferillo Cook | Family Medicine | 926 N 8th St, Estherville, IA 51334-1300 | 2008-06-06 |
| Find all providers in zip 51334 | ||||
| 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] |
| 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 | ESTHERVILLE |
| Zip Code | 51334 |
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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.