CC ANDERSON PC NPI 1912902024

NPI Information

  • NPI: 1912902024
  • Provider Name: CC ANDERSON PC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDICAP
  • Address: 411 ANNEX RD
    MADRID, IA
    ZIP 50156
  • Phone: (515) 795-4252

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NPI Details

CC ANDERSON PC is a community/retail pharmacy pharmacy in Madrid, 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. CC ANDERSON PC NPI is 1912902024. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicap.

The provider's business location address is:

411 ANNEX RD
MADRID, IA
ZIP 50156-471
Phone: (515) 795-4252
Fax: (515) 795-4255

The provider's authorized official is Christine M Anderson .
The authorized official title is Owner and has the following contact phone number (515) 795-4252.

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.

  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)

The enumeration date for this NPI number is 6/15/2005 and was last updated on 3/16/2009.

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
1333600000XPharmacy274IOWANo
23336C0003XPharmacyCommunity/Retail PharmacyYes

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
10298539MEDICAIDIOWA
210025316200MEDICAIDNEBRASKA
3005817300MEDICAIDMARYLAND
4IB1332MEDICARE PINIOWA
51621627OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
620056411500MEDICAIDMINNESOTA
7370458100MEDICAIDMICHIGAN
8200321290AMEDICAIDINDIANA
98530970MEDICAIDSOUTH DAKOTA
1021514MEDICAIDNORTH DAKOTA
114912890001MEDICARE NSCIOWA

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: 11/21/2025

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