NPIMap

Organization Active NPI

Falks Woodland Pharmacy Inc

Doing business as Falks Spirit Valley Pharmacy

  • Community/Retail Pharmacy
  • Duluth, MN
National Provider Identifier
1114901550
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262404 Issued in MN
Legal business name
FALKS WOODLAND PHARMACY INC
Doing business as
Falks Spirit Valley Pharmacy
Practice address
5300 Bristol St
Duluth, MN 55807-2903
Phone
(218) 624-1222
Fax
(218) 624-1555
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Steven Preston, RPH
Title
Owner
Phone
(218) 525-9850

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 262404 MN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

5300 Bristol St
Duluth, MN 55807-2903

Mailing address

1 E Calvary Rd
Duluth, MN 55803-1514
Phone (218) 740-4562

Other identifiers 2

IdentifierTypeStateIssuer
2426066OtherNCPDP PROVIDER IDENTIFICATION NUMBER
006605200MedicaidMN

Other names 1

  • FALKS SPIRIT VALLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5300 Bristol St
Duluth, MN 55807
Phone (218) 624-1222

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1114901550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CALVARY RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031514",
            "telephone_number": "218-740-4562",
            "fax_number": "218-728-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BRISTOL ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072903",
            "telephone_number": "218-624-1222",
            "fax_number": "218-624-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALKS WOODLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-525-9850",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262404",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2426066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006605200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALKS SPIRIT VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.