1. Home
  2. Directory
  3. Iowa
  4. Audubon
  5. Pharmacy
  6. NPI Profile

MEDICAP PHARMACY
NPI 1245281450
Pharmacy - Community/Retail Pharmacy in Audubon, IA

Active since May 12, 2006CLIA 16D0952383 · Waiver
316 BROADWAY ST, AUDUBON, IA 50025(712) 563-2655(712) 563-2656 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Medicap Pharmacy NPPES

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

MEDICAP PHARMACY (NPI 1245281450) is a healthcare organization registered as a community/retail pharmacy in Audubon, Iowa and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through October 11, 2026 and lists Dennis A. Jorgensen, V.p./manager, as its authorized official.

NPPES Registry Identity

NPI1245281450
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKIMWOOD, INC.
Location Address316 BROADWAY STAudubon, IA 50025-1104
Mailing Address316 Broadway StAudubon, IA 50025-1104 · (712) 563-2655 · Fax (712) 563-2656
Phone(712) 563-2655
Fax(712) 563-2656
Organization SubpartNo
Authorized OfficialDennis A. JorgensenV.p./manager · (712) 563-2655
Enumeration DateMay 12, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1245281450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IA · 813
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.
316 BROADWAY ST, Audubon, IA 50025
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicap Pharmacy

Other Identifiers 2

Medicaid0254383IA
Other1614329IA · Ncpdp #

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 16D0952383

Medicap Pharmacy · Audubon, IA
Active · expires Oct 11, 2026
CLIA Number16D0952383
Laboratory TypePharmacy
Certificate Effective DateOctober 12, 2024
Certificate Expiration DateOctober 11, 2026
Laboratory DirectorAdam Mikkelsen
Laboratory Phone(712) 563-2655
Laboratory LocationMedicap Pharmacy317 N Market Street, Audubon, IA 50025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ADAM MIKKELSEN
Pharmacist
316 BROADWAY ST
AUDUBON, IA 50025
Audubon County (712) 563-2655
MS. TRISHA A NELSON RPH
Pharmacist
316 BROADWAY ST
AUDUBON, IA 50025
Audubon County (712) 563-2655
GRX
Pharmacy
316 BROADWAY ST
AUDUBON, IA 50025
Audubon County (712) 563-2655

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 Kimwood, Inc.'s NPI number?

The NPI number for Kimwood, Inc. is 1245281450. It was assigned to this organization in the NPPES registry on May 12, 2006. The provider is doing business as Medicap Pharmacy.

Where is Kimwood, Inc. located?

Kimwood, Inc. is located at 316 Broadway St, Audubon, IA 50025. The listed phone number is (712) 563-2655.

What is Kimwood, Inc.'s specialty?

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

Does Kimwood, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0952383) is associated with this NPI, valid through October 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kimwood, Inc. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.