SIOUXLAND COMPOUNDING PHARMACY, LLC (NPI# 1639588262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639588262 |
| Entity Type | Organization |
| Organization Name | SIOUXLAND COMPOUNDING PHARMACY, LLC |
| Practice Address |
4501 Southern Hills Dr Suite 3 Sioux City IA 51106-4769 |
| Practice Telephone | 7122246337 |
| Mailing Telephone | 7122246337 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Authorized Official Name | MS. PATRICIA HAHN (OWNER) |
| Authorized Official Telephone | 7122246337 |
| Authorized Official Credential | RP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
1505 | IA | Suppliers |
| Street Address |
4501 SOUTHERN HILLS DR SUITE 3 |
| City | SIOUX CITY |
| State | IA |
| Zip Code | 51106-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952375016 | Troy Fluent | Chiropractor | 4501 Southern Hills Dr, Suite 17, Sioux City, IA 51106-4769 | 2006-02-15 |
| 1063751634 | Patricia Morrical | Pharmacist | 4501 Southern Hills Dr, Suite 3, Sioux City, IA 51106-4769 | 2013-02-01 |
| 1649486325 | Nancy Lou Dierenfield | Chiropractor | 4501 Southern Hills Dr, Southern Square Mall Fluent Chiropractic Clinic, Sioux City, IA 51106 | 2007-05-16 |
| 1710951876 | Fluent Chiropractic Clinic PC | Chiropractor | 4501 Southern Hills Dr, Suite 17, Sioux City, IA 51106-4769 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534876 | Kimberly Pilar | Hearing Instrument Specialist | 4129 Gordon Dr, Sioux City, IA 51106 | 2020-03-23 |
| 1548810625 | Morgan Elizabeth Spielman | Registered Nurse | 4527 Hawthorne Drive, Sioux City, IA 51106 | 2019-09-19 |
| 1316476062 | Atalie Elise Arnold | Behavioral Analyst | 5610 Myers Avenue, Sioux City, IA 51106 | 2017-06-07 |
| 1033507207 | Juan Pablo Munoz | Chiropractor | 3206 Singing Hills Blvd, Sioux City, IA 51106 | 2014-12-22 |
| 1649554932 | Samuel John Huff | Pharmacist | 6734 Kokopelli Pl, Sioux City, IA 51106 | 2011-10-05 |
| 1821386616 | Jennifer Lynae Smith | Dentist | 5708 Sunnybrook Dr., Sioux City, IA 51106 | 2011-07-14 |
| 1942597323 | Keith Roed | Physical Therapist | 4295 Sergeant Rd, Sioux City, IA 51106 | 2011-07-06 |
| 1639475239 | Northland Hearing Centers, Inc. | Audiologist | 4301 Sergeant Rd., Suite 109, Sioux City, IA 51106 | 2011-01-31 |
| 1588895023 | Kelly Ann Hancock | Nurse Practitioner | 2467 Sergeant Road, Sioux City, IA 51106 | 2009-07-31 |
| 1346419447 | Jean Marie Duran | Hearing Instrument Specialist | 4301 Sergeant Rd Ste 109, Sioux City, IA 51106 | 2008-02-22 |
| Find all providers in zip 51106 | ||||
| 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 |
| 1427332295 | Ryka Incorporated | Pharmacy | 112 10th St Sw, Suite A, Waverly, IA 50677-2924 | 2011-09-28 |
| 1235323288 | William Burke Ltd | Pharmacy | 129 W Locust St, Davenport, IA 52803 | 2007-09-04 |
| Find all providers with the same taxonomy | ||||
| City | SIOUX CITY |
| Zip Code | 51106 |
Please comment or provide details below to improve the information on SIOUXLAND COMPOUNDING PHARMACY, LLC.
| 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.