Family Health Systems of Moose Lake Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

FAMILY HEALTH SYSTEMS OF MOOSE LAKE INC

Doing business as

Family Pharmacy Sandstone

Practice address

204 Lundorff Dr
Sandstone, MN 55072-5051

Phone

(320) 245-5500

Fax

(320) 245-5123

NPI assigned

Jul 6, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bill Storck

Title

Coo

Phone

(218) 485-5671

Specialties & licenses 2

Addresses

Other names 1

• Family Pharmacy Sandstone Doing business as

Tax ID family

Family Health Systems of Moose Lake Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Health Systems of Moose Lake Inc

  dba Family Pharmacy

  • Clinic Pharmacy
  • Moose Lake, MN
  • NPI 1407887599
  NPD tax ID

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1073544151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S KENWOOD AVE",
            "city": "MOOSE LAKE",
            "state": "MN",
            "postal_code": "55767",
            "telephone_number": "218-485-5671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LUNDORFF DR",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725051",
            "telephone_number": "320-245-5500",
            "fax_number": "320-245-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH SYSTEMS OF MOOSE LAKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STORCK",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "218-485-5671",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2614902",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Pharmacy Sandstone",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridget M. Dewey, M.D.
• Reta Joyce Diedrich, RN
• Angela Lea Domagala
• Lori J Dougherty
• Gary Vince Drewa
• Jessica Lynne Fehlen, RN, PHN
• Kimberly June Fletcher
• Foster Transportation Services LLC
• James Richard Franzel
• Peggy Ann Frisch, FNP

• Clinic Pharmacy in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Clinic Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.