NPIMap

Organization Active NPI

Genesis Recovery Services, LLC

  • Pharmacy
  • Duluth, MN
National Provider Identifier
1013454545
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
265250 Issued in MN
Legal business name
GENESIS RECOVERY SERVICES, LLC
Practice address
5 N 3Rd Ave W Ste 302
Duluth, MN 55802-1614
Phone
(218) 740-2345
NPI assigned
Jan 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Kristi Melby, PHARMD
Title
Pharmacist in Charge
Phone
(218) 740-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 265250 MN Primary

Addresses

Primary practice location

5 N 3Rd Ave W Ste 302
Duluth, MN 55802-1614

Mailing address

5 N 3Rd Ave W Ste 302
Duluth, MN 55802-1614
Phone (218) 740-2345

National Provider Directory

National Provider Directory
Tax ID family
Genesis Recovery Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5 N 3rd Ave W
Ste 302
Duluth, MN 55802
Phone (218) 740-2345

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1013454545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 N 3RD AVE W STE 302",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021614",
            "telephone_number": "218-740-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N 3RD AVE W STE 302",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021614",
            "telephone_number": "218-740-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "MELBY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "218-740-2345",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "265250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.