Medicap Pharmacy

LBN: Jeff Longstaff Corporation
Medicap Pharmacy is an health care organization with primary practice located at 405 S Sumner Ave , Creston IA 50801-3330. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jeff Longstaff Corporation can be contacted via phone (641) 782-6558, or through Longstaff, Jeffrey via phone (641) 782-6558.

Contact Information

Primary practice address
405 S Sumner Ave Creston IA 50801-3330
Phone: (641) 782-6558
Fax: (641) 782-7346
Website:
Map and Directions
Authorized official contact:
Name: Longstaff, Jeffrey RPH
Phone: (641) 782-6558

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 850 Iowa
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1447344858
LBN Legal business name Jeff Longstaff Corporation
DBA Doing business as Medicap Pharmacy
Authorized official Longstaff, Jeffrey RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447344858 NPPES
Iowa MEDICAID 0201715
Iowa Other 1613478

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