Organization Active NPI

Nis Pharmacy Services, LTD

  • Community/Retail Pharmacy
  • Nisswa, MN
National Provider Identifier
1033573258
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264109 Issued in MN
Legal business name
NIS PHARMACY SERVICES, LTD
Practice address
23962 Smiley Rd
Nisswa, MN 56468-2386
Phone
(218) 963-7525
Fax
(218) 963-4722
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Michael Schwartzwald, RPH
Title
President
Phone
(218) 829-3476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 264109 MN Primary

Addresses

Primary practice location

23962 Smiley Rd
Nisswa, MN 56468-2386

Mailing address

14091 Baxter Dr
Baxter, MN 56425-8699
Phone (218) 829-3473

Other identifiers 1

IdentifierTypeStateIssuer
2407155OtherMNNCPDP

Other names 1

  • GuidePoint Pharmacy #108 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guidepoint Pharmacy 1093 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

23962 Smiley Rd
Nisswa, MN 56468
Phone (218) 963-7525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1033573258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14091 BAXTER DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258699",
            "telephone_number": "218-829-3473",
            "fax_number": "218-454-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23962 SMILEY RD",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564682386",
            "telephone_number": "218-963-7525",
            "fax_number": "218-963-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIS PHARMACY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-3476",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2407155",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy #108",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nisswa, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.