NPIMap

Organization Active NPI

Drug Express Pharmacies Inc

Doing business as Drug Express and Variety Galore

  • Community/Retail Pharmacy
  • New Prague, MN
National Provider Identifier
1114060886
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260974 Issued in MN
Legal business name
DRUG EXPRESS PHARMACIES INC
Doing business as
Drug Express and Variety Galore
Practice address
1101 1St St NE
New Prague, MN 56071-2197
Phone
(952) 758-5262
Fax
(952) 758-5646
NPI assigned
Feb 14, 2007
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Dale Otto, RPH
Title
Owner
Phone
(952) 873-6220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 260974 MN Primary

Addresses

Primary practice location

1101 1St St NE
New Prague, MN 56071-2197

Mailing address

1101 1St St NE
New Prague, MN 56071-2197
Phone (952) 758-5262

Other identifiers 2

IdentifierTypeStateIssuer
2420519OtherNCPDP PROVIDER IDENTIFICATION NUMBER
099760900MedicaidMN

Other names 1

  • DRUG EXPRESS AND VARIETY GALORE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drug Express and Variety Galore3 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1114060886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 1ST ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712197",
            "telephone_number": "952-758-5262",
            "fax_number": "952-758-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 1ST ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560712197",
            "telephone_number": "952-758-5262",
            "fax_number": "952-758-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG EXPRESS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-873-6220",
        "authorized_official_credential": "RPH"
    },
    "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": "260974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2420519",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099760900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DRUG EXPRESS AND VARIETY GALORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Prague, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.