NPIMap

Organization Active NPI

Ci Pharmacy Services LTD

Doing business as GuidePoint Pharmacy

  • Community/Retail Pharmacy
  • Crosby, MN
National Provider Identifier
1083635270
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263734 Issued in MN
Legal business name
CI PHARMACY SERVICES LTD
Doing business as
GuidePoint Pharmacy
Practice address
20 W Main St
Crosby, MN 56441-1422
Phone
(218) 546-5144
Fax
(218) 546-7238
NPI assigned
Jul 22, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Mike Schwartzwald
Title
Owner/VP
Phone
(218) 829-0347

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 263734 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

20 W Main St
Crosby, MN 56441-1422

Mailing address

108 S 6TH St
Suite 1
Brainerd, MN 56401-3575
Phone (218) 829-0347

Other identifiers 3

IdentifierTypeStateIssuer
2420925OtherNCPDP PROVIDER IDENTIFICATION NUMBER
951262400MedicaidMN
1083635270MedicaidMN

Other names 1

  • GuidePoint Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121022000500 MN DME Supplier - Pharmacy 7315197662 Practice locations: Crosby, MN
O20130313000569 MN Part B Supplier - Mass Immunization (Roster Biller Only) 7315197662 Practice locations: Crosby, MN

National Provider Directory

National Provider Directory
Tax ID family
Ci Pharmacy Services LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1083635270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST",
            "address_2": "SUITE 1",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-829-0347",
            "fax_number": "218-829-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W MAIN ST",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411422",
            "telephone_number": "218-546-5144",
            "fax_number": "218-546-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CI PHARMACY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER/VP",
        "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": "263734",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2420925",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951262400",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083635270",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crosby, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.