Healthcare Provider Details

I. General information

NPI: 1295888014
Provider Name (Legal Business Name): NIGHTINGALE PHARMACY 1ST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 E 1ST ST
MONTICELLO IA
52310
US

IV. Provider business mailing address

304 E 1ST ST
MONTICELLO IA
52310-1503
US

V. Phone/Fax

Practice location:
  • Phone: 319-465-4404
  • Fax: 319-465-5009
Mailing address:
  • Phone: 319-465-4404
  • Fax: 319-465-5009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. SETH K ANATO
Title or Position: HEAD OF PHARMACY SERVICES
Credential: PHARMD
Phone: 314-517-9035