NPIMap

Organization Active NPI

Rolseth Drug Co

  • Long Term Care Pharmacy
  • Wyoming, MN
National Provider Identifier
1114544822
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROLSETH DRUG CO
Practice address
26709 Forest Blvd
Wyoming, MN 55092-8022
Phone
(651) 462-2082
Fax
(651) 462-1089
NPI assigned
Jun 29, 2020
Organization subpart
Yes
Parent organization
ROLSETH DRUG COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Thomas Haas, PHARMD
Title
Pharmacist
Phone
(651) 464-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

26709 Forest Blvd
Wyoming, MN 55092-8022

Mailing address

26709 Forest Blvd
Wyoming, MN 55092-8022
Phone (651) 462-2082

Other names 1

  • Wyoming Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rolseth Drug Co6 organizations share this tax ID, including this one
Part of
Rolseth Drug Co

Other organizations with this tax ID 5

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

Locations

26709 Forest Blvd
Wyoming, MN 55092
Phone (651) 462-2082

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1114544822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26709 FOREST BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928022",
            "telephone_number": "651-462-2082",
            "fax_number": "651-462-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26709 FOREST BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928022",
            "telephone_number": "651-462-2082",
            "fax_number": "651-462-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLSETH DRUG CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROLSETH DRUG CO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "651-464-2114",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wyoming Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wyoming, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.