NPI Code Detail JSON Logo

1306757356 NPI number — KWRV IOWA LLC

NPI Number: 1306757356
Health Care Provider/Practitioner: KWRV IOWA LLC

Information about “1306757356” NPI (KWRV IOWA LLC) exists in 1306757356 in HTML format HTML  |  1306757356 in plain Text format TXT  |  1306757356 in PDF (Portable Document Format) PDF  |  1306757356 in an XML format XML  formats.

NPI Number : 1306757356 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306757356",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "KWRV IOWA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5501 NW BEAVER DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JOHNSTON",
    "MailingAddressStateName": "IA",
    "MailingAddressPostalCode": "50131-1376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "515-978-8886",
    "MailingAddressFaxNumber": "515-989-8887",
    "FirstLinePracticeLocationAddress": "5501 NW BEAVER DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JOHNSTON",
    "PracticeLocationAddressStateName": "IA",
    "PracticeLocationAddressPostalCode": "50131-1376",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "515-978-8886",
    "PracticeLocationAddressFaxNumber": "515-989-8887",
    "EnumerationDate": "09/16/2026",
    "LastUpdateDate": "09/16/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VOGEL",
    "AuthorizedOfficialFirstName": "ROSS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "515-978-8886",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251F00000X",
          "TaxonomyName": "Home Infusion Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "333600000X",
          "TaxonomyName": "Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.