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SUMMIT PHARMACY
NPI 1154941870
Pharmacy - Community/Retail Pharmacy in Fairfield, IA

Active since April 22, 2020CLIA 16D2317020 · Waiver
300 W BURLINGTON AVE, FAIRFIELD, IA 52556(641) 472-7987(641) 472-7484 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 19, 2020, May 17, 2020, Apr 22, 2020 (3 updates tracked since 2020).

About Summit Pharmacy NPPES

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

SUMMIT PHARMACY (NPI 1154941870) is a healthcare organization registered as a community/retail pharmacy in Fairfield, Iowa and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Bryan Paul Vander Linden, Owner, as its authorized official.

NPPES Registry Identity

NPI1154941870
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSUMMIT PHARMACY OF IOWA, INC
Location Address300 W BURLINGTON AVEFairfield, IA 52556-3241
Mailing Address300 W Burlington AveFairfield, IA 52556-3241
Phone(641) 472-7987
Fax(641) 472-7484
Organization SubpartNo
Authorized OfficialBryan Paul Vander LindenOwner · (641) 204-1312
Enumeration DateApril 22, 2020
Last NPPES UpdateAugust 19, 20203 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
✔ NPI 1154941870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
300 W BURLINGTON AVE, Fairfield, IA 52556
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Other Names 1

Doing Business AsSummit Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 16D2317020

Summit Pharmacy · Fairfield, IA
Active · expires Jan 15, 2027
CLIA Number16D2317020
Laboratory TypePharmacy
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorErin B. Orne
Laboratory Phone(641) 472-7987
Laboratory LocationSummit Pharmacy300 W Burlington Ave, Fairfield, IA 52556
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
200 services197 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
185 services185 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
18 services18 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Summit Pharmacy carries, from the Medicare DMEPOS supplier directory.

Summit Pharmacy

DMEPOS supplier · Fairfield, IAOperated by Summit Pharmacy Of Iowa Inc
✔

Accepts Medicare assignment

Summit Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20413361
Medicare Participant SinceJune 29, 2020
Supplier Location300 W Burlington AveFairfield, IA 52556
Phone(641) 472-7987
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

DR. BRYAN VANDER LINDEN PHARMD
Pharmacist
300 W BURLINGTON AVE
FAIRFIELD, IA 52556
Jefferson County (641) 472-7987
ASCENT PHARMACY OF IOWA
Pharmacy (Community/Retail Pharmacy)
300 W BURLINGTON AVE
FAIRFIELD, IA 52556
Jefferson County (641) 472-7987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Pharmacy Of Iowa, Inc's NPI number?

The NPI number for Summit Pharmacy Of Iowa, Inc is 1154941870. It was assigned to this organization in the NPPES registry on April 22, 2020. The provider is doing business as Summit Pharmacy.

Where is Summit Pharmacy Of Iowa, Inc located?

Summit Pharmacy Of Iowa, Inc is located at 300 W Burlington Ave, Fairfield, IA 52556. The listed phone number is (641) 472-7987.

What is Summit Pharmacy Of Iowa, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Summit Pharmacy Of Iowa, Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Summit Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Summit Pharmacy Of Iowa, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2317020) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Summit Pharmacy Of Iowa, Inc accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and AvMed and 23 other insurers list Summit Pharmacy Of Iowa, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Pharmacy Of Iowa, Inc was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.