SUMMIT PHARMACY OF IOWA, INC (NPI# 1154941870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154941870 |
| Entity Type | Organization |
| Organization Name | SUMMIT PHARMACY OF IOWA, INC |
| Other Organization Name | SUMMIT PHARMACY |
| Practice Address |
300 W Burlington Ave Fairfield IA 52556-3241 |
| Practice Telephone | 6414727987 |
| Practice Fax Number | 6414727484 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | DR. BRYAN PAUL VANDER LINDEN (OWNER) |
| Authorized Official Telephone | 6412041312 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Summit Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | SUMMIT PHARMACY OF IOWA, INC. | 1105 Kodi Circle, Fairfield, IA 52556 |
| Street Address |
300 W BURLINGTON AVE |
| City | FAIRFIELD |
| State | IA |
| Zip Code | 52556-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642162 | Bryan Vander Linden | Pharmacist | 300 W Burlington Ave, Fairfield, IA 52556-3241 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376175315 | Sarah Jo Chaney | Speech-Language Pathologist | 402 W Burlington Ave, Ste 200, Fairfield, IA 52556 | 2020-02-07 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1740644483 | Felicity Kelly | Acupuncturist | 206 E Burlington Ave #2, Fairfield, IA 52556 | 2016-04-08 |
| 1275964686 | Donna J Besick | Physical Therapy Assistant | 2000 S. Main St., Fairfield, IA 52556 | 2013-12-11 |
| 1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
| 1699016287 | Sarah Elizabeth Brooks | Acupuncturist | 1825 Okra Blvd, Fairfield, IA 52556 | 2013-03-07 |
| 1265755631 | Robert H. Schneider | Preventive Medicine | 2100 Mansion Drive, Suite 211 - Inmp, Maharishi Vedic City, IA 52556 | 2010-03-12 |
| 1033346127 | Madison County Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 1401 S Main St Ste 101, Fairfield, IA 52556 | 2009-06-16 |
| 1144490178 | Southeastern Renal Dialysis L.c. | Clinic/Center | 2000 A S Main St, Fairfield, IA 52556 | 2008-03-05 |
| 1497933741 | Rochelle Marie Phelps | Social Worker | 301 W. Burlington, Fairfield, IA 52556 | 2008-02-07 |
| Find all providers in zip 52556 | ||||
| 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 |
|---|---|---|---|---|
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| 1215084561 | Payless Drugs, Inc. | Pharmacy | 4901 Gary Ave, Fairfield, AL 35064-1348 | 2007-01-05 |
| 1295830040 | Connecticut Cvs Pharmacy LLC | Pharmacy | 1968 Black Rock Tpke, Fairway Plaza, Fairfield, CT 06825-3543 | 2006-09-14 |
| 1255434957 | Ohio Cvs Stores LLC | Pharmacy | 590 Nilles Rd, Fairfield, OH 45014-2606 | 2006-09-07 |
| 1033229794 | Raleys | Pharmacy | 3001 Travis Blvd., Fairfield, CA 94534-3442 | 2006-08-30 |
| 1184636359 | Coram Alternate Site Services, Inc. | Pharmacy | 4305 Mulhauser Rd, Suite 1, Fairfield, OH 45014-2263 | 2006-08-13 |
| 1639191232 | Garfield Beach Cvs LLC | Pharmacy | 2059 Cadenasso Dr, Fairfield, CA 94533-6806 | 2006-07-24 |
| 1235172024 | Longs Drug Stores California LLC | Pharmacy | 300 Travis Blvd, Fairfield, CA 94533-3804 | 2006-06-13 |
| 1720617509 | Melissa Adrian | Pharmacy | 1300 W Burlington Ave, Fairfield, IA 52556-2766 | 2020-04-03 |
| 1457995516 | Family Health Services Corporation | Pharmacy | 401 W Camas Ave, Fairfield, ID 83327 | 2019-11-01 |
| Find all providers in FAIRFIELD | ||||
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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.