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COMMUNITY PHARMACY OF SAC CITY
NPI 1871142422
Pharmacy - Community/Retail Pharmacy in Sac City, IA

Active since September 06, 2019CLIA 16D2182946 · Waiver
501 W MAIN ST, SAC CITY, IA 50583(712) 830-5443 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2024, Feb 13, 2023, Sep 6, 2019 (3 updates tracked since 2019).

About Community Pharmacy Of Sac City NPPES

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

COMMUNITY PHARMACY OF SAC CITY (NPI 1871142422) is a healthcare organization registered as a community/retail pharmacy in Sac City, Iowa and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Steven Donnelly, Vice President, as its authorized official.

NPPES Registry Identity

NPI1871142422
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMA340 LLC
Location Address501 W MAIN STSac City, IA 50583-1726
Mailing Address1321 W Main StLake City, IA 51449-1585 · (712) 830-5443
Phone(712) 830-5443
Organization SubpartNo
Authorized OfficialSteven DonnellyVice President · (210) 441-2036
Enumeration DateSeptember 6, 2019
Last NPPES UpdateDecember 17, 20243 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1871142422 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 ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
501 W MAIN ST, Sac City, IA 50583
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Pharmacy Of Sac City

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 16D2182946

Pharma340 Dba Community Pharmacy Of Sac City · Sac City, IA
Active · expires Apr 27, 2028
CLIA Number16D2182946
Laboratory TypePharmacy
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorMakayla Niehaus
Laboratory Phone(712) 662-8165
Laboratory LocationPharma340 Dba Community Pharmacy Of Sac City501 W Main St, Sac City, IA 50583
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

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.
96 services95 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
68 services68 patients

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.

MADELINE LAMSON PHARMD
Pharmacist
501 W MAIN ST
SAC CITY, IA 50583
Sac County (712) 662-8165
MARCY WAGNER RPH
Pharmacy (Community/Retail Pharmacy)
501 W MAIN ST
SAC CITY, IA 50583
Sac County (712) 662-8165
MAKAYLA NIEHAUS
Pharmacist
501 W MAIN ST
SAC CITY, IA 50583
Sac County (712) 662-8165

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 Pharma340 LLC's NPI number?

The NPI number for Pharma340 LLC is 1871142422. It was assigned to this organization in the NPPES registry on September 6, 2019. The provider is doing business as Community Pharmacy Of Sac City.

Where is Pharma340 LLC located?

Pharma340 LLC is located at 501 W Main St, Sac City, IA 50583. The listed phone number is (712) 830-5443.

What is Pharma340 LLC's specialty?

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

Does Pharma340 LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2182946) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pharma340 LLC 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 48 other insurers list Pharma340 LLC 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 Pharma340 LLC was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.