Active NPI
Nis Pharmacy Services, LTD
- Community/Retail Pharmacy
- Nisswa, MN
National Provider Identifier
1033573258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 264109
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2407155 | Other | MN | NCPDP |
Other names 1
- GuidePoint Pharmacy #108
National Provider Directory
National Provider Directory- Tax ID family
- Guidepoint Pharmacy 109
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Longville, MN
- NPI 1104260868
-
- Community/Retail Pharmacy
- Longville, MN
- NPI 1548624778
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.
-
- Pharmacist
- Nisswa, MN
- NPI 1801019799
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.