J & L Urevig Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

J & L UREVIG INC

Doing business as

MEDICINE SHOPPE

Practice address

124 NE 4TH St
Grand Rapids, MN 55744-2840

Phone

(218) 326-9639

Fax

(218) 326-6849

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Linda Urevig, PH. TECH

Title

Owner/PH. Tech

Phone

(218) 326-9639

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083752075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 NE 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 NE 4TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442840",
            "telephone_number": "218-326-9639",
            "fax_number": "218-326-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & L UREVIG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "UREVIG",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER/PH. TECH",
        "authorized_official_telephone_number": "218-326-9639",
        "authorized_official_credential": "PH. TECH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2602202",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2416700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Grand Rapids, 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 Mar 7, 2023; 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.