Dewitt Pharmacy Inc
Dewitt Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in De Witt, IA, holding Type 2 (organization) NPI 1013928522 since 2006. The authorized official on file is Dennis Bousselot, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013928522 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dewitt Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 1021 11TH ST, De Witt, IA, 52742 |
| Phone | 5636598910 |
| Fax | 5636598411 |
| Enumeration date | 2006-08-10 |
| Last updated in NPPES | 2007-08-28 |
Authorized official
| Name | Dennis Bousselot |
|---|---|
| Title | President |
| Phone | 5636595042 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 1228 | IA |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0419267 | Medicaid | IA | — |
| 1621831 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Dewitt Pharmacy Inc NPI: 1013928522 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1021 11TH ST, De Witt, IA, 52742
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619927126 | Steven Fowler | Individual | Family Medicine Physician | De Witt, IA |
| 1831141043 | Peter Laureijs | Individual | Family Medicine Physician | De Witt, IA |
| 1124072814 | Medical Associates of Clinton, Iowa, P.L.C. | Organization | Family Medicine Physician | De Witt, IA |
| 1437470499 | Life Rx Inc | Organization | Community/Retail Pharmacy | De Witt, IA |
| 1235793829 | Mercy Specialty Clinic | Organization | Family Medicine Physician | De Witt, IA |
| 1124804182 | Genesis Health System | Organization | Rural Health Clinic/Center | De Witt, IA |
Verify this record
Cross-check NPI 1013928522 against the authoritative CMS record: view Dewitt Pharmacy Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Dewitt Pharmacy Inc?
Who is the authorized official for Dewitt Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-08-28.