DYKSTRA PHARMACY CO NPI 1477660512

NPI Information

  • NPI: 1477660512
  • Provider Name: DYKSTRA PHARMACY CO
  • Classification: Pharmacist - 183500000X
  • Entity Type: Organization
  • Doing Business As: HULL PHARMACY
  • Address: 1044 MAIN STREET
    BOX 309
    HULL, IA
    ZIP 51239
  • Phone: (712) 439-1611

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NPI Details

DYKSTRA PHARMACY CO is a pharmacist in Hull, IA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. DYKSTRA PHARMACY CO NPI is 1477660512. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hull Pharmacy.

The provider's business location address is:

1044 MAIN STREET
BOX 309
HULL, IA
ZIP 51239
Phone: (712) 439-1611
Fax: (712) 439-1612

The provider's authorized official is Richard K Dykstra .
The authorized official title is Owner and has the following contact phone number (712) 439-1611.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.

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
1183500000XPharmacist14742IOWAYes
2315P00000XIntermediate Care Facility, Intellectual Disabilities14742IOWAX
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition14742IOWAX
43336L0003XPharmacyLong Term Care Pharmacy14742IOWAX

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
10081661MEDICAIDIOWA

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: 3/30/2025

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