Organization Active NPI

Rushford Drug Co

Doing business as Witt's Pharmacy - LaCrescent

  • Community/Retail Pharmacy
  • La Crescent, MN
National Provider Identifier
1053647867
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263440 Issued in MN
Legal business name
RUSHFORD DRUG CO
Doing business as
Witt's Pharmacy - LaCrescent
Practice address
306 Main St # 103
La Crescent, MN 55947-1828
Phone
(507) 895-8784
NPI assigned
Oct 29, 2009
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Thomas Witt
Title
Ceo
Phone
(507) 421-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 263440 MN Primary

Addresses

Primary practice location

306 Main St # 103
La Crescent, MN 55947-1828

Mailing address

PO Box 370
Rushford, MN 55971-0370
Phone (507) 864-3238

Other identifiers 1

IdentifierTypeStateIssuer
2429911OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Witt's Pharmacy - LaCrescent Doing business as

National Provider Directory

National Provider Directory

Locations

306 Main St
Ste 103
La Crescent, MN 55947
Phone (507) 864-3238

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1053647867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "RUSHFORD",
            "state": "MN",
            "postal_code": "559710370",
            "telephone_number": "507-864-3238",
            "fax_number": "507-864-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST # 103",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471828",
            "telephone_number": "507-895-8784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHFORD DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-421-2993"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2429911",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Witt's Pharmacy - LaCrescent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Crescent, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.