| NPI | 1316968373 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-22 |
| Last Updated | 2025-10-06 |
| Authorized Official | Andrew Wagner Pharmacist In Charge Phone: 5154483814 |
| Mailing Address | 311 W Broadway St Eagle Grove, IA 50533-1711 United States Phone: (515) 448-3814 | Fax: (515) 448-5429 📍 View Map |
| Primary Practice Address | 311 W Broadway St Eagle Grove, IA 50533-1711 United States Phone: (515) 448-3814 | Fax: (515) 448-5429 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IA | 0196840 | - |
| Other (non-Medicare) | - | 1614052 | NCPDP Provider Identification Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | IA | 829 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1316968373
Eagle Grove Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1316968373. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Eagle Grove, IA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316968373?
NPI 1316968373 belongs to Eagle Grove Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in Eagle Grove, IA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316968373 active?
The current status of NPI 1316968373 in the NPPES registry is Active. The record was last updated on 2025-10-06.
What specialty is NPI 1316968373?
NPI 1316968373 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316968373?
You can verify NPI 1316968373 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316968373?
The primary practice address on file for NPI 1316968373 is 311 W Broadway St, Eagle Grove, IA 50533-1711. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316968373 issued?
NPI 1316968373 was first issued (enumerated) on 2006-07-22. The NPPES record was last updated on 2025-10-06.
Practice Location Map
Eagle Grove Pharmacy Inc is located at 311 W Broadway St, Eagle Grove, IA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Eagle Grove Pharmacy Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316968373. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 829 | IA |