MONTROSS PHARMACY,INC
NPI 1639149990
Pharmacy in Earlham, IA

Active since January 26, 2006CLIA 16D2265068 · Waiver
115 N CHESTNUT AVE, EARLHAM, IA 50072(515) 758-2174(515) 758-2188 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Montross Pharmacy,inc NPPES

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

MONTROSS PHARMACY,INC (NPI 1639149990) is a healthcare organization registered as a pharmacy in Earlham, Iowa and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through April 10, 2027 and lists Mark Glenn Jobst, Rph-manager- Pic, as its authorized official.

NPPES Registry Identity

NPI1639149990
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameMONTROSS PHARMACY,INC
Location Address115 N CHESTNUT AVEEarlham, IA 50072-0008
Mailing AddressPo Box 8Earlham, IA 50072-0008 · (515) 758-2174 · Fax (515) 758-2188
Fax(515) 758-2188
Organization SubpartNo
Authorized OfficialMark Glenn JobstRph-manager- Pic · (515) 758-2174
Enumeration DateJanuary 26, 2006
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPI 1639149990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in IA · 104
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
115 N CHESTNUT AVE, Earlham, IA 50072

Other Identifiers 2

Other1609900IA · Nabp
Medicaid0138818IA

Accepted 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 16D2265068

Montross Pharmacy · Earlham, IA
Active · expires Apr 10, 2027
CLIA Number16D2265068
Laboratory TypePharmacy
Certificate Effective DateApril 11, 2025
Certificate Expiration DateApril 10, 2027
Laboratory DirectorJason R. Salton
Laboratory Phone(515) 758-2174
Laboratory LocationMontross Pharmacy115 N Chestnut Ave, Earlham, IA 50072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacist
115 N CHESTNUT AVE, PO BX 8
EARLHAM, IA 50072

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 Montross Pharmacy,inc's NPI number?

The NPI number for Montross Pharmacy,inc is 1639149990. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is Montross Pharmacy,inc located?

Montross Pharmacy,inc is located at 115 N Chestnut Ave, Earlham, IA 50072. The listed phone number is (515) 758-2174.

What is Montross Pharmacy,inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Does Montross Pharmacy,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2265068) is associated with this NPI, valid through April 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montross Pharmacy,inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Montross Pharmacy,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 Montross Pharmacy,inc was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.