Astrup Drug Inc
Organization Active NPI Community/Retail Pharmacy · Northfield, MN
NPI 1013343391 · NPPES record last updated Jan 17, 2019
Key facts
- NPI
- 1013343391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 264429 (MN)
- Legal business name
- ASTRUP DRUG INC
- Practice address
- 700 Division St S
Northfield, MN 55057-2427 - Phone
- (507) 645-4455
- Fax
- (507) 645-6912
- NPI assigned
- Sep 19, 2013
- Organization subpart
- No
Authorized official
- Name
- David Brooks
- Title
- District Pharmacy Manager
- Phone
- (612) 618-6340
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061018000102 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810993623 |
23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Worthington, MN; Austin, MN; Spring Grove, MN; Rushford, MN; Owatonna, MN; Northfield, MN; Mendota Heights, MN; Le Sueur, MN… |
| O20131214000241 | MN | DME Supplier - Pharmacy | 7810993623 | Practice locations: Northfield, MN |
National Provider Directory
- Tax ID family
- Sterling LTC Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 264429 | MN | Yes |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
700 Division St S
Northfield, MN 55057-2427
Mailing address
905 N Main St
Austin, MN 55912-3357
Phone (507) 433-7447
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013343391 | Medicaid | MN | |
| 2142159 | Other | PK |
Other names
- Sterling
Other providers in Northfield, MN
- Suzanne Anderson
- Jerome L Appeldoorn
- Arcadia Charter School
- Brian Arce
- George Asante
- Astrup Drug Inc
- Jessica Astrup Ehret
- Atlantic Dialysis LLC
- Heidi Lee Auge
- Azule Opportunities, LLC
All providers in Northfield, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.