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MCMH PHARMACY
NPI 1104602549
Pharmacy - Community/Retail Pharmacy in Red Oak, IA

Active since September 01, 2023CLIA Certified · 2 labs
600 SENATE AVE, RED OAK, IA 51566(712) 623-1900 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 6, 2023, Sep 1, 2023 (2 updates tracked since 2023).

About Mcmh Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCMH PHARMACY (NPI 1104602549) is a healthcare organization registered as a community/retail pharmacy in Red Oak, Iowa and active in the NPI registry since September 2023. The organization holds 2 active CLIA laboratory certificates and lists Bryant J Blay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104602549
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMONTGOMERY COUNTY MEMORIAL HOSPITAL
Location Address600 SENATE AVERed Oak, IA 51566-1283
Mailing AddressPo Box 498Red Oak, IA 51566-0498 · (712) 623-7000 · Fax (712) 623-7224
Phone(712) 623-1900
Organization SubpartYes
Authorized OfficialBryant J BlayCfo · (712) 623-7000
Enumeration DateSeptember 1, 2023
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2023
✔ NPI 1104602549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
600 SENATE AVE, Red Oak, IA 51566
Open in Google Maps ↗

Other Names 1

Doing Business AsMcmh Pharmacy

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D0935994

Montgomery County Memorial Hospital Women's Health Clinic Dba Outreach Clinic · Red Oak, IA
Active · expires Feb 18, 2028
CLIA Number16D0935994
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorSherstin Willyerd
Laboratory Phone(712) 623-7132
Laboratory LocationMontgomery County Memorial Hospital Women's Health Clinic Dba Outreach Clinic1400 Senate Ave, Suite 102, Red Oak, IA 51566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 16D0385918

Montgomery County Memorial Hospital · Red Oak, IA
Active · expires May 3, 2027
CLIA Number16D0385918
Laboratory TypeHospital
Certificate Effective DateMay 4, 2025
Certificate Expiration DateMay 3, 2027
Laboratory DirectorDr. Shane Kohl
Laboratory Phone(712) 623-7188
Laboratory LocationMontgomery County Memorial Hospital2301 Eastern Avenue, Red Oak, IA 51566
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MASOODE S NIKSERESHT R. PH.
Pharmacist
600 SENATE AVE
RED OAK, IA 51566
Montgomery County (712) 623-1900
KATHERYN ELIZABETH LARSON PHARMD
Pharmacist
600 SENATE AVE
RED OAK, IA 51566
Montgomery County (712) 623-1900
ZACHARY HIRAKI PHARMD
Pharmacist
600 SENATE AVE
RED OAK, IA 51566
Montgomery County (712) 623-1900
MONTGOMERY COUNTY MEMORIAL HOSPITAL
Pharmacy (Community/Retail Pharmacy)
600 SENATE AVE
RED OAK, IA 51566
Montgomery County (712) 623-1900

Frequently Asked Questions

What is MONTGOMERY COUNTY MEMORIAL HOSPITAL's NPI number?

The NPI number assigned to this healthcare provider is 1104602549, enumerated as an "organization" on September 01, 2023.

Where is the provider located?

The provider is located at 600 SENATE AVE RED OAK, IA 51566 and the phone number is (712) 623-1900.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.