OrganizationActive
Dewitt Pharmacy Inc
NPI 1174630735 · Community/Retail Pharmacy · De Witt, IA
Dewitt Pharmacy Inc is a Community/Retail Pharmacy organization in De Witt, IA (NPI 1174630735).
Provider details
- NPI number
- 1174630735
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dennis Bousselot, Pres(563) 659-5042
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
629 6th Ave
De Witt, IA 52742-1635
Phone: (563) 659-5042
Fax: (563) 659-5044
Street-level locationGet directions
Mailing address
629 6th Ave
De Witt, IA 52742-1635
Other names (DBA / former)
- Doing business as
- Scott Thrifty White Drug
Registry dates
- Enumerated
- 2006-08-23
- Last updated
- 2010-03-17
Frequently asked questions
- What is Dewitt Pharmacy Inc's NPI number?
- Dewitt Pharmacy Inc's National Provider Identifier (NPI) is 1174630735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dewitt Pharmacy Inc?
- Dewitt Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Dewitt Pharmacy Inc located?
- Dewitt Pharmacy Inc's practice location on file with NPPES is 629 6th Ave, De Witt, IA 52742-1635.
- What is Dewitt Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Dewitt Pharmacy Inc is (563) 659-5042.
- Who is the authorized official for Dewitt Pharmacy Inc?
- The authorized official listed on Dewitt Pharmacy Inc's NPPES record is Dennis Bousselot, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dewitt Pharmacy Inc's NPI active?
- Yes — Dewitt Pharmacy Inc's NPI (1174630735) is active in the NPPES registry as of the last update on 2010-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.