LINCOLN HIGHWAY PHARMACY, INC. (NPI# 1073819389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073819389 |
| Entity Type | Organization |
| Organization Name | LINCOLN HIGHWAY PHARMACY, INC. |
| Other Organization Name | CLINIC PHARMACY OF CARROLL |
| Practice Address |
405 S Clark St Ste 102 Carroll IA 51401-3065 |
| Mailing Address |
859 E Us Highway 30 C/o Lincoln Highway Pharmacy Carroll IA 51401-2617 |
| Practice Telephone | 7127925393 |
| Practice Fax Number | 7127922403 |
| Mailing Telephone | 7127922402 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | GERALD FLESHNER (OWNER) |
| Authorized Official Telephone | 7127925393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1384 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 1624003 | 01 |
| Other Name | Type Code |
|---|---|
| Clinic Pharmacy of Carroll | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184714347 | Lincoln Highway Pharmacy, Inc. | Pharmacy | 859 E Us Highway 30, Carroll, IA 51401-2617 | 2006-10-16 |
| Street Address |
405 S CLARK ST STE 102 |
| City | CARROLL |
| State | IA |
| Zip Code | 51401-3065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
| 1598397309 | Samantha Anne Ludwig | Pharmacist | 425 Highway 30 West, Suite 140, Carroll, IA 51401 | 2020-02-10 |
| 1265804082 | Katrina (tina) K Wederquist Zanders | Social Worker | 409 1/2 W 7th, Catholic Charities, Carroll, IA 51401 | 2015-10-21 |
| 1508127705 | Carly M. Quam | Family Medicine | 1241 S Grant Road, Carroll, IA 51401 | 2012-06-04 |
| 1033492517 | Daniel Michael G'sell | Pharmacist | 1214 S. Grant Rd., Carroll, IA 51401 | 2011-09-21 |
| 1356510317 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 2014 Kitty Hawk Ave, Carroll, IA 51401 | 2008-02-25 |
| 1902075153 | Banks Chiropractic Inc. | Chiropractor | 1420 Hwy. 71 North, Carroll, IA 51401 | 2008-02-21 |
| 1093994261 | Janelle Rae Brungardt | Occupational Therapy Assistant | 2241 Northwest Street, Carroll, IA 51401 | 2007-10-24 |
| 1871780197 | Assisted Living Concepts Inc | Assisted Living Facility | 1024 E 12th Street, Carroll, IA 51401 | 2007-10-01 |
| 1487865267 | Tthomas Charles Lehman | Pharmacist | 859 Highway 30 E, Carroll, IA 51401 | 2007-05-24 |
| Find all providers in zip 51401 | ||||
| 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 |
|---|---|---|---|---|
| 1457601254 | Nudak Ventures LLC | Pharmacy | 1214 S Grant Rd, Carroll, IA 51401-3102 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
| 1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
| 1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
| 1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
| 1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
| 1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
| 1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
| 1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
| 1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
| 1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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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.