NPIMap

Organization Active NPI

Seip Drug LLC

Doing business as Seip Prescription Shoppe

  • Community/Retail Pharmacy
  • Wadena, MN
National Provider Identifier
1093923914
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263046 Issued in MN
Legal business name
SEIP DRUG LLC
Doing business as
Seip Prescription Shoppe
Practice address
415 Jefferson St N
Wadena, MN 56482-1264
Phone
(218) 632-5440
Fax
(218) 632-5442
NPI assigned
May 21, 2007
Last updated
Dec 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Nathan SeipNPI 1609129675
Title
Chief Mang RPH
Phone
(218) 385-3360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 263046 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

415 Jefferson St N
Wadena, MN 56482-1264

Mailing address

PO Box 98
New York Mills, MN 56567-0098
Phone (218) 385-3360

Other identifiers 2

IdentifierTypeStateIssuer
551430000MedicaidMN
2049242OtherPK

Other names 1

  • SEIP PRESCRIPTION SHOPPE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013002927 MN Part B Supplier - Pharmacy 7113122615 Practice locations: Wadena, MN

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Frank Mikkelsen DDS2 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.

Locations

420 Center Ave
Ste 12
Moorhead, MN 56560
Phone (218) 233-1529

415 Jefferson St N
Ste B
Wadena, MN 56482
Phone (218) 632-5440

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1093923914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "NEW YORK MILLS",
            "state": "MN",
            "postal_code": "565670098",
            "telephone_number": "218-385-3360",
            "fax_number": "218-346-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 JEFFERSON ST N",
            "city": "WADENA",
            "state": "MN",
            "postal_code": "564821264",
            "telephone_number": "218-632-5440",
            "fax_number": "218-632-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIP DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "SEIP",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CHIEF MANG RPH",
        "authorized_official_telephone_number": "218-385-3360"
    },
    "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": "263046",
            "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": "551430000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049242",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEIP PRESCRIPTION SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SEIP PRESCRIPTION SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wadena, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.