KIMWOOD, INC. (NPI# 1245281450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245281450 |
| Entity Type | Organization |
| Organization Name | KIMWOOD, INC. |
| Other Organization Name | MEDICAP PHARMACY |
| Practice Address |
316 Broadway St Audubon IA 50025-1104 |
| Practice Telephone | 7125632655 |
| Practice Fax Number | 7125632656 |
| Mailing Telephone | 7125632655 |
| Mailing Fax Number | 7125632656 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | MR. DENNIS A. JORGENSEN (V.P./MANAGER) |
| Authorized Official Telephone | 7125632655 |
| Authorized Official Credential | R. PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
813 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0254383 | 05 | |
| IA | NCPDP # | 1614329 | 01 |
| IA | DEA # | BM1187992 | 01 |
| Other Name | Type Code |
|---|---|
| Medicap Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | KIMWOOD, INC. | 316 Broadway, Audubon, IA 50025 |
| Street Address |
316 BROADWAY ST |
| City | AUDUBON |
| State | IA |
| Zip Code | 50025-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295231785 | Adam Mikkelsen | Pharmacist | 316 Broadway St, Audubon, IA 50025-1104 | 2018-04-03 |
| 1598172025 | Grx | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2014-07-16 |
| 1366593626 | Trisha A Nelson | Pharmacist | 316 Broadway St, Audubon, IA 50025-1104 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316905888 | Terry L Sprague | Family Medicine | 222 Broadway, Audubon Medical Clinic, Audubon, IA 50025 | 2006-05-03 |
| 1316901580 | Carol Klocke | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-14 |
| 1316900319 | George Smith | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-04-10 |
| 1154390797 | William Evans Barron | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-03-16 |
| 1518931286 | Audubon County Memorial Hospital | Medicare Defined Swing Bed Unit | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1730153420 | Audubon County Memorial Hospital | Emergency Medicine | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-17 |
| 1710951686 | Audubon County Memorial Hospital | General Acute Care Hospital | 515 Pacific Ave, Audubon, IA 50025-1052 | 2006-02-15 |
| 1841340270 | James Michael Cunningham | Family Medicine | 515 Pacific Ave Ste 2, Audubon, IA 50025-1056 | 2007-01-10 |
| 1114919818 | Shelley Brinkman Diehl | Physician Assistant | 515 Pacific Ave, Audubon, IA 50025-1056 | 2005-08-18 |
| 1770931412 | Rae Marie Mcdivitt | Nurse Practitioner | 515 Pacific Ave, Audubon, IA 50025-1056 | 2016-06-02 |
| Find all providers in zip 50025 | ||||
| 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 |
|---|---|---|---|---|
| 1295292175 | Audubon Family Pharmacy Inc | Pharmacy | 2812 Egypt Rd Ste E, Audubon, PA 19403-2195 | 2019-02-27 |
| 1457448672 | Main Street Pharmacy, LLC | Pharmacy | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2006-10-09 |
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|---|---|---|---|---|
| 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.