Organization Active NPI

Sward-Kemp Drug Co of Olivia Inc

Doing business as Page Snyder Drug

  • Community/Retail Pharmacy
  • Olivia, MN
National Provider Identifier
1053455774
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262343 Issued in MN
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
670123000MedicaidMN
47258PAOtherMNBLUE CROSS BLUE SHIELD

Other names 1

  • Page Snyder Drug Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.