Active NPI
Sward-Kemp Drug Co of Olivia Inc
Doing business as Page Snyder Drug
- Community/Retail Pharmacy
- Olivia, MN
National Provider Identifier
1053455774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 262343
- Legal business name
- SWARD-KEMP DRUG CO OF OLIVIA INC
- Doing business as
- Page Snyder Drug
- Practice address
- 801 East Depue Avenue
Olivia, MN 56277 - Phone
- (320) 523-2110
- Fax
- (320) 523-2113
- NPI assigned
- Feb 16, 2007
- Last updated
- May 27, 2015
- 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
- Dr. John Scott Nelson, PHARMD
- Title
- President
- Phone
- (507) 637-2911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 262343 | MN | Primary |
Addresses
Primary practice location
801 East Depue Avenue
Olivia, MN 56277
Mailing address
PO Box 128
Olivia, MN 56277
Phone (320) 523-2110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 670123000 | Medicaid | MN | |
| 47258PA | Other | MN | BLUE CROSS BLUE SHIELD |
Other names 1
- Page Snyder Drug
National Provider Directory
National Provider DirectoryLocations
801 E Depue Ave
Olivia, MN 56277
Phone (320) 523-2110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Redwood Falls, MN
- NPI 1548981525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432684800000",
"number": "1053455774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 128",
"city": "OLIVIA",
"state": "MN",
"postal_code": "56277",
"telephone_number": "320-523-2110",
"fax_number": "320-523-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EAST DEPUE AVENUE",
"city": "OLIVIA",
"state": "MN",
"postal_code": "56277",
"telephone_number": "320-523-2110",
"fax_number": "320-523-2113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWARD-KEMP DRUG CO OF OLIVIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2015-05-27",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-637-2911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "262343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "670123000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "47258PA",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Page Snyder Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Olivia, MN
- Marykay Sinner
- Randal P Sparks, DO
- St. Cloud Hospital (CentraCare Kidney Program - Olivia)
- Heather Jean Strobel, PHARM.D.
- Annmarie J Suess, RN PHN
- TC Audiology LLC (TC Audiology)
- Tiffany Ann Tersteeg, CNP
- Rebecca M Thiesse, AU.D.
- Thrifty Drug Stores, Inc. (Thrifty White Pharmacy #790)
- Lisa Lynn Turbes, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.