NEW LEAF SPECIALTY PHARMACY (NPI# 1790229029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790229029 |
| Entity Type | Organization |
| Organization Name | NEW LEAF SPECIALTY PHARMACY |
| Other Organization Name | NEW LEAF SPECIALTY PHARMACY |
| Practice Address |
3930 Westown Pkwy Suite B West Des Moines IA 50266-1032 |
| Practice Telephone | 5154469933 |
| Practice Fax Number | 5154469917 |
| Mailing Telephone | 5154469933 |
| Mailing Fax Number | 5154469917 |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2018-07-27 |
| Authorized Official Name | ARTHUR MATTSON (MEMBER CEO) |
| Authorized Official Telephone | 9312522932 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 99-7975 | OK | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
6212 | TN | Suppliers |
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
1590 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2166603 | 01 |
| Other Name | Type Code |
|---|---|
| New Leaf Specialty Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NEW LEAF SPECIALTY PHARMACY LLC | 3930 Westown Pkwy, Suite B, West Des Moines, IA 50266 |
| Street Address |
3930 WESTOWN PKWY SUITE B |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669468542 | Robert S Sieman | Obstetrics & Gynecology | 3930 Westown Pkwy, Suite A, West Des Moines, IA 50266 | 2005-09-26 |
| 1730319575 | Karen Anne Mellody | Nurse Practitioner | 3930 Westown Pkwy, Suite A, West Des Moines, IA 50266 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144128 | Grx Holdings, LLC | Pharmacy | 12871 University Ave Ste 130, Clive, IA 50325-8256 | 2012-04-24 |
| 1194855569 | Central Iowa Compounding | Pharmacy | 3290 100th St, Urbandale, IA 50322-3879 | 2007-03-06 |
| 1508919416 | Rxpert Inc | Pharmacy | 102 S Story St, Boone, IA 50036 | 2007-01-22 |
| 1912068644 | Far Bil Inc | Pharmacy | 1727 S B Ave, Nevada, IA 50201-2804 | 2006-12-13 |
| 1114002284 | Professional Compounding Center of Iowa, Inc. | Pharmacy | 2104 Kimball Ave., Suite A, Waterloo, IA 50702-5037 | 2006-10-26 |
| 1124000328 | Elk Horn Pharmacy Inc | Pharmacy | 4022 Main St, Elk Horn, IA 51531-2102 | 2005-11-15 |
| 1457902314 | Wayne County Hospital | Pharmacy | 510 E Jefferson St Ste A, Corydon, IA 50060-1812 | 2019-09-23 |
| 1932599404 | Pella Regional Health Center | Pharmacy | 802 Washington St, Pella, IA 50219-1525 | 2015-02-04 |
| 1639588262 | Siouxland Compounding Pharmacy, LLC | Pharmacy | 4501 Southern Hills Dr, Suite 3, Sioux City, IA 51106-4769 | 2014-08-07 |
| 1427332295 | Ryka Incorporated | Pharmacy | 112 10th St Sw, Suite A, Waverly, IA 50677-2924 | 2011-09-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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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.