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DR MAMAE INC NPI 1538262696


NPI Information

NPI: 1538262696
Provider Name: DR MAMAE INC

Doing Business As: ONE TO ONE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D2268260

Address:
214 5TH ST
KALONA, IA
ZIP 52247
Phone: (319) 656-3134
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DR MAMAE INC is a community/retail pharmacy pharmacy in Kalona, IA. The provider is 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. DR MAMAE INC NPI is 1538262696. The provider is registered as an organization entity type.
The provider Is Doing Business As One To One Pharmacy.

The provider's business location address is:

214 5TH ST
KALONA, IA
ZIP 52247
Phone: (319) 656-3134
Fax: (319) 656-3165

The provider's authorized official is David Mcdanel .
The authorized official title is Vp and has the following contact phone number (319) 656-3134.

The CLIA number assigned to this NPI record is 16D2268260 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 3/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy273IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11608287OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
20250837MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.