Astrup Drug, Inc.
Organization Active NPI Community/Retail Pharmacy · Le Sueur, MN
NPI 1114409257 · NPPES record last updated Dec 10, 2024
Key facts
- NPI
- 1114409257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ASTRUP DRUG, INC.
- Practice address
- 101 Main St S Ste 115
Le Sueur, MN 56058-7503 - Phone
- (507) 665-3301
- NPI assigned
- Sep 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Tina Miller
- Title
- Executive Assistant
- Phone
- (507) 434-7425
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Tax ID family
- Sterling LTC Pharmacy
Locations
101 Main St S
Ste 115
Le Sueur, MN 56058
Phone (507) 665-3301
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes |
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
- Corner Drug
Other providers in Le Sueur, MN
- Jeffrey Henry Alto
- Anderson Orthodontics
- Jason A Anderson
- Astrup Drug Inc
- Jason Berberich
- Bonnie Ann Berglund
- Chiropractic Health Center of Lesueur PA
- Kelsey Lynn Colvin
- Cura of Le Sueur LLC
All providers in Le Sueur, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.