MAQUOKETA PHARMACY INC NPI 1861155699

NPI Details

MAQUOKETA PHARMACY INC is a pharmacy in Maquoketa, IA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MAQUOKETA PHARMACY INC NPI is 1861155699. The provider is registered as an organization entity type.
The provider Is Doing Business As Osterhaus Pharmacy.

The provider's business location address is:

918 W PLATT ST STE 2
MAQUOKETA, IA
ZIP 52060-038
Phone: (563) 652-5611
Fax: (563) 652-6242

The provider's authorized official is Robert John Greenwood .
The authorized official title is President/pharmacist and has the following contact phone number (319) 230-7534.

The CLIA number assigned to this NPI record is 16D0699487 - pharmacy with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Coronavirus vaccine 13 (HCPCS:91312)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
• Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use (HCPCS:91301)
• Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose (HCPCS:0011A)
• Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 10/19/2021 and was last updated on 12/1/2021.

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: