Sun Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2599250 Issued in MN

Legal business name

SUN DRUG INC

Doing business as

Oakdale Pharmacy

Practice address

2730 Stillwater Rd
Maplewood, MN 55119

Phone

(651) 735-2300

Fax

(651) 735-2301

NPI assigned

Aug 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Salah A Fattah, RPH

Title

Pharmacist Owner

Phone

(651) 735-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Oakdale Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003920158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 STILLWATER RD",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55119",
            "telephone_number": "651-735-2300",
            "fax_number": "651-735-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 STILLWATER RD",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "55119",
            "telephone_number": "651-735-2300",
            "fax_number": "651-735-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FATTAH",
        "authorized_official_first_name": "SALAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "651-735-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2599250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2402523",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakdale Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Marie Fuller Stinger, CNM
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• Benjamin D Suhr, M.D.
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• Xiaoguang Sun, MD
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• Superior Health and Human Services of MN
• Supervalu Pharmacies Inc

• Community/Retail Pharmacy in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.