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Active NPI 1235698564 Organization (Entity Type 2)

Pharma340 Llc

Pharmacy - Community/Retail Pharmacy • Lake View, IA

About Pharma340 Llc NPI 1235698564 Summary

Pharma340 Llc is a verified healthcare organization specializing in Pharmacy - Community/Retail Pharmacy operating in Lake View, IA. Located at 1160 3RD ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1235698564.

Administrative operations and authorized compliance are overseen by Steven Donnelly (President).

The facility is associated with 3 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

1160 3rd St

Lake View, IA 514507612

Telephone 7126658555

Authorized Official Information

Authorized Contact Name

Steven Donnelly

Title / Role

President

Official Telephone

2104412036

Facility Classifications & Specialties

Pharmacy - Community/Retail Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 3336C0003X

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.

Pharmacy - Long Term Care Pharmacy

NUCC Taxonomy Code: 3336L0003X

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

3 Linked

Family Medicine

Lake View, IA

View Practitioner Profile →
Jenna Sturm NPI 1396200689

Pharmacist

Lake View, IA

View Practitioner Profile →
Bryan Thompson NPI 1821485061

Pharmacist

Lake View, IA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2024

Pharmacy

📍
Updated Business Mailing Address February 13, 2023

Registered at 1321 W MAIN ST, LAKE CITY, IA 514491585 (Tel: 7128305443)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2019

Pharmacy

NPI Profile Active March 16, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 16, 2019

Registered at 1160 3RD ST, LAKE VIEW, IA 514507612 (Tel: 7126658555)

📍
Updated Business Mailing Address March 16, 2019

Registered at 8900 OLIVERIA ST APT 9703, FORT MYERS, FL 339128992 (Tel: 9315419524)

🏛️
Organization / Clinic Name Updated March 16, 2019

Operating as PHARMA340 LLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2019

Pharmacy

🟢
Initial NPI Registration & Enumeration March 16, 2019

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1235698564
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 16, 2019
Last Update: December 17, 2024

Mailing Address

1321 W Main St

Lake City, IA 514491585

Phone: 7128305443

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.