Nis Pharmacy Services LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264109 Issued in MN

Legal business name

NIS PHARMACY SERVICES LTD

Doing business as

GuidePoint Pharmacy #108

Practice address

23962 Smiley Rd
Nisswa, MN 56468-2386

Phone

(218) 963-7525

Fax

(218) 963-4722

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Mike Schwartzwald

Title

President

Phone

(218) 829-0347

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GuidePoint Pharmacy #108 Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nis Pharmacy Services LTD

  dba GuidePoint Pharmacy #109

  • Community/Retail Pharmacy
  • Longville, MN
  • NPI 1104260868

  O20210212001664

  Same enrollment

Locations

Practitioners 1

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

• Dennis Dean Hins, RPH

  • Pharmacist
  • Nisswa, MN
  • NPI 1801019799
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1063698207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-963-7525",
            "fax_number": "218-963-4722"
        },
        {
            "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": "2008-01-17",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-0347"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140928",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy #108",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angie Jean Monson, M.S. LMFT
• Moonflower LLC
• Nis Pharmacy Services, LTD (GuidePoint Pharmacy #108)
• Nisswa Dental
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• Partners in Conversation

• Community/Retail Pharmacy in Nisswa, MN
• Providers in Nisswa, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.