C R PHARMACY SERVICE INC (NPI# 1558782110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558782110 |
| Entity Type | Organization |
| Organization Name | C R PHARMACY SERVICE INC |
| Other Organization Name | KELLY'S HOME MEDICAL, A CAREPRO AFFILIATE |
| Practice Address |
931 13th Ave N Clinton IA 52732-5072 |
| Practice Telephone | 5632422305 |
| Practice Fax Number | 5632424212 |
| Mailing Telephone | 5632422305 |
| Mailing Fax Number | 5632424212 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MRS. MICHELLE M. JENSEN (CEO) |
| Authorized Official Telephone | 3193634554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Kelly's Home Medical, a CarePro Affiliate | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487817532 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 474 First Ave, Carepro Home Medical, Coralville, IA 52241 | 2008-07-09 |
| 1043307705 | C R Pharmacy Service Inc | Pharmacy | 402 10th St Se Ste 100, Cedar Rapids, IA 52403-2441 | 2006-10-06 |
| 1013012251 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 202 10th St Se Ste 117, Cedar Rapids, IA 52403-2424 | 2006-09-13 |
| 1992126551 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 730 E Kimberly Rd, Davenport, IA 52807-1621 | 2013-12-30 |
| 1154742757 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 4517 Avenue of The Cities, Moline, IL 61265-4551 | 2013-12-27 |
| 1982025581 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 600 N College Ave, Geneseo, IL 61254-1091 | 2013-12-27 |
| 1174616650 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 717 A Ave Ne, Suite 202, Cedar Rapids, IA 52401-1024 | 2006-10-02 |
| 1992755615 | C R Pharmacy Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th St Se, Suite 600, Cedar Rapids, IA 52403-2459 | 2006-05-11 |
| Street Address |
931 13TH AVE N |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699761643 | Duglas J Brondyke | Physical Therapist | 931 13th Ave N, Rock Valley Physical Therapy, Clinton, IA 52732-5072 | 2005-09-26 |
| 1548813173 | Nicole Gruhn | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2019-07-23 |
| 1124429246 | Brittney Davis | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2014-09-08 |
| 1366724874 | Rock Valley Physical Therapy Center | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2011-09-12 |
| 1881871838 | Lisa A Lehr | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5070 | 2008-01-22 |
| 1326228255 | Clinton Physical Therapy | Durable Medical Equipment & Medical Supplies | 931 13th Ave N, Clinton, IA 52732-5070 | 2007-11-08 |
| 1659396364 | J & S Kelly LLC | Durable Medical Equipment & Medical Supplies | 931 13th Ave N, Clinton, IA 52732-5032 | 2006-07-13 |
| 1407824907 | Benjamin Jobgen | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2006-03-09 |
| 1235125279 | Julie A Harmon | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5070 | 2005-09-26 |
| 1215923263 | James M Norman | Physical Therapist | 931 13th Ave N, Clinton, IA 52732-5070 | 2005-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871762906 | Carolina Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 307-a Beaman St, Clinton, NC 28328-2907 | 2008-02-22 |
| 1245315738 | Baker Medical, Inc | Durable Medical Equipment & Medical Supplies | 2097 Highway 65 S, Clinton, AR 72031-6737 | 2006-10-25 |
| 1407937121 | Quad States Medical Rehab and Supply LLC | Durable Medical Equipment & Medical Supplies | 107 Wesmor St, Clinton, MO 64735-1786 | 2006-10-18 |
| 1124123070 | Family Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 329 North Blvd, Clinton, NC 28328-1911 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128963 | Madison County Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 213 E Main St Ste 102, Knoxville, IA 50138-2502 | 2020-09-09 |
| 1801406160 | Madison County Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 9761 University Ave, Clive, IA 50325-6466 | 2020-08-03 |
| 1790302198 | Madison County Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 401 6th St Ste A, Corning, IA 50841-1613 | 2020-07-01 |
| 1508400458 | Total Respiratory and Rehab, Inc. | Durable Medical Equipment & Medical Supplies | 3422 W Broadway, Council Bluffs, IA 51501-3211 | 2019-11-04 |
| 1417517574 | Focus Respiratory LLC | Durable Medical Equipment & Medical Supplies | 2312 Avenue L, Fort Madison, IA 52627-4030 | 2019-06-19 |
| 1124479001 | Regina M Lassabe | Durable Medical Equipment & Medical Supplies | 209 E Maple St, Ste 6, Centerville, IA 52544-2200 | 2016-06-22 |
| 1538535018 | Quality Medical Services Inc | Durable Medical Equipment & Medical Supplies | 431 S Highway 52, Guttenberg, IA 52052-9360 | 2015-08-19 |
| 1780072116 | Acs Medical LLC | Durable Medical Equipment & Medical Supplies | 10636 Justin Dr, Urbandale, IA 50322-3755 | 2015-01-08 |
| 1518218403 | Quality Medical Services Inc | Durable Medical Equipment & Medical Supplies | 2140 Jfk Rd Ste A1, Dubuque, IA 52002-3883 | 2012-10-02 |
| 1104195411 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 522 Mulberry Ave Ste C, Muscatine, IA 52761-4218 | 2011-12-16 |
| 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.