GCR Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

260558 Issued in MN

Legal business name

GCR INC

Doing business as

Snyders Drug

Practice address

126 5TH St N
Breckenridge, MN 56520-1421

Phone

(218) 643-3871

Fax

(218) 643-1459

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Jason Amdahl

Title

Owner

Phone

(218) 643-3871

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• SNYDERS DRUG Doing business as

Locations

Practitioners 3

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

• Heidi J Bertsch, PHARM D, RPH

  • Pharmacist
  • Breckenridge, MN
  • NPI 1366466799
  NPD (past)
• Megan Ann Solem Ritter, RN

  • Registered Nurse
  • Breckenridge, MN
  • NPI 1316429822
  NPD (past)
• Jacquelyn Sue Noble, PHARMD

  • Pharmacist
  • Wahpeton, ND
  • NPI 1487710562
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1083625594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 251",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565200251",
            "telephone_number": "218-643-3871",
            "fax_number": "218-643-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 5TH ST N",
            "city": "BRECKENRIDGE",
            "state": "MN",
            "postal_code": "565201421",
            "telephone_number": "218-643-3871",
            "fax_number": "218-643-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "AMDAHL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-643-3871"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260558",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21024",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "935060800",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8534000",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2418754",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNYDERS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacob Lonnie Erbes, PT, DPT
• Karissa Jo Etten, RN
• Bridget Marie Forst, LICSW
• Sara Faye Francois, MA, CF-SLP
• Joni Cora Lynn Frolek
• Heidi Genereux, C.R.N.A.
• John Anker Gjevre Sr., MD
• Kyle Gregerson, DPT
• Tyler Donn Groth, PT, DPT
• Benjamin R Guck, PT, ATC

• Community/Retail Pharmacy in Breckenridge, MN
• Providers in Breckenridge, 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 Jan 28, 2010; 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.