MAIN COMPOUNDING PHARMACY – NPI #1235323288
Pharmacy

A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

Health Care Provider Taxonomy Code for Pharmacy

MAIN COMPOUNDING PHARMACY is a pharmacy located in DAVENPORT, IA. NPPES has assigned the NPI number 1235323288 to MAIN COMPOUNDING PHARMACY on September 04, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAIN COMPOUNDING PHARMACY” is a dba name, the actual legal business name for this organization is WILLIAM BURKE LTD. The primary taxonomy selected by this provider is 3336C0004X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Compounding Pharmacy

The NPI profile was previously updated about 2 years ago on Feb 23, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN COMPOUNDING PHARMACY below.

NPI Profile for
WILLIAM BURKE LTD

NPI Number
1235323288
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WILLIAM BURKE LTD
Doing Business As (dba): MAIN COMPOUNDING PHARMACY
Primary location
129 W LOCUST ST
DAVENPORT, IA 52803
Phone: (563) 324-1641 Fax: (563) 884-4480
Mailing address
2151 KIMBERLY RD
BETTENDORF, IA 52722-3628
Phone: (563) 324-1641 Fax: (563) 884-4480
Organization Subpart
No
Authorized Official
ANDREW PLOEHN
OWNER
Phone: (563) 324-5004
Updated
Certification Date
Feb 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0004X
- Pharmacy / Compounding Pharmacy (Primary)		 IA 1325

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.