Hinckley Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263569 Issued in MN

Legal business name

HINCKLEY DRUG LLC

Doing business as

Hinckley Drug,LLC

Practice address

121 Main St
Hinckley, MN 55037

Phone

(320) 384-6166

Fax

(320) 384-0016

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Deanna CazaNPI 1427466416

Title

Owner

Phone

(320) 384-6166

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hinckley Drug,LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deanna Caza, RPH

  • Pharmacist
  • Hinckley, MN
  • NPI 1427466416
  NPD (past) Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1083758676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "550370130",
            "telephone_number": "320-384-6166",
            "fax_number": "320-384-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "city": "HINCKLEY",
            "state": "MN",
            "postal_code": "55037",
            "telephone_number": "320-384-6166",
            "fax_number": "320-384-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINCKLEY DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "CAZA",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-384-6166"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690-727-000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127348",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinckley Drug,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle M Hams, DC
• Stephanie Alexis Hanowski
• Darnell Jean Hendrickson, OCCUPATIONAL THERAPI
• Hinckley Assisted Living LLC. (Elderwood of Hinckley)
• Hinckley Dental Center P. a.
• Adam Michael Holder, D.D.S.
• Jodel Hunt, IHP
• Independent School District 2165
• Kyle Hams D.C. P.a. (Hinckley Chiropractic)
• Gerard Lawrence Lafave, MA, LMFT

• Community/Retail Pharmacy in Hinckley, MN
• Providers in Hinckley, 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 13, 2014; 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.