Nis Pharmacy Services LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264101 Issued in MN

Legal business name

NIS PHARMACY SERVICES LTD

Doing business as

GuidePoint Pharmacy #109

Practice address

1472 County Road 5
Longville, MN 56655-3002

Phone

(218) 363-2640

Fax

(218) 363-2641

NPI assigned

Apr 24, 2013

Last updated

Jul 10, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael SchwartzwaldNPI 1235128299

Title

President

Phone

(218) 829-0347

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GuidePoint Pharmacy #109 Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nis Pharmacy Services LTD

  dba GuidePoint Pharmacy #108

  • Community/Retail Pharmacy
  • Nisswa, MN
  • NPI 1063698207

  O20210212001664

  Same enrollment

Tax ID family

Guidepoint Pharmacy 1093 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.

• Nis Pharmacy Services, LTD

  dba GuidePoint Pharmacy #108

  • Community/Retail Pharmacy
  • Nisswa, MN
  • NPI 1033573258
  NPD tax ID
• Nis Pharmacy Services, LTD

  dba GuidePoint Pharmacy #109

  • Community/Retail Pharmacy
  • Longville, MN
  • NPI 1548624778
  NPD tax ID

Locations

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.

• Michael R Schwartzwald, R.PH.

  • Pharmacist
  • Brainerd, MN
  • NPI 1235128299
  Authorized official Same address or phone

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1104260868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST",
            "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": "1472 COUNTY ROAD 5",
            "city": "LONGVILLE",
            "state": "MN",
            "postal_code": "566553002",
            "telephone_number": "218-363-2640",
            "fax_number": "218-363-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIS PHARMACY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-0347"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2140128",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy #109",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cuyuna Regional Medical Center (Longville Lakes Clinic)
• Connor Daudt
• David W Laposky, MD
• Elizabeth Ann Miles, RN FNP
• Nis Pharmacy Services, LTD (GuidePoint Pharmacy #109)
• David Roger Plattes, MD

• Community/Retail Pharmacy in Longville, MN
• Providers in Longville, 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 Jul 10, 2013; 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.