NPIMap

Organization Active NPI

Astrup Drug, Inc.

Doing business as Corner Drug

  • Community/Retail Pharmacy
  • Le Sueur, MN
National Provider Identifier
1114409257
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ASTRUP DRUG, INC.
Doing business as
Corner Drug
Practice address
101 Main St S Ste 115
Le Sueur, MN 56058-7503
Phone
(507) 665-3301
NPI assigned
Sep 5, 2018
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Tina Miller
Title
Executive Assistant
Phone
(507) 434-7425

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

101 Main St S Ste 115
Le Sueur, MN 56058-7503

Mailing address

905 N Main St
Austin, MN 55912-3357
Phone (507) 433-7447

Other names 1

  • Corner Drug Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061018000102 MN Part B Supplier - Mass Immunization (Roster Biller Only) 7810993623 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worthington, MN; Austin, MN; Spring Grove, MN; Rushford, MN; Owatonna, MN; Northfield, MN; Mendota Heights, MN; Le Sueur, MN…
O20181130000060 MN Part B Supplier - Pharmacy 7810993623 Practice locations: Le Sueur, MN
O20181212000113 MN DME Supplier - Pharmacy 7810993623 Practice locations: Le Sueur, MN

Other NPIs with the same Medicare PAC ID 16

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

View all 16

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Sterling LTC Pharmacy40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

101 Main St S
Ste 115
Le Sueur, MN 56058
Phone (507) 665-3301

NPI Registry JSON

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1114409257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123357",
            "telephone_number": "507-433-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST S STE 115",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560587503",
            "telephone_number": "507-665-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRUP DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "507-434-7425"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Le Sueur, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.