NPIMap

Organization Active NPI

Bois Forte Reservation Tribal Council

Doing business as Bois Forte Virginia Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Virginia, MN
National Provider Identifier
1144016957
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Indian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy code 332800000X
Legal business name
BOIS FORTE RESERVATION TRIBAL COUNCIL
Doing business as
Bois Forte Virginia Pharmacy
Practice address
305 Chestnut St
Virginia, MN 55792-2523
Phone
(218) 757-3650
NPI assigned
Apr 17, 2025
Last updated
Apr 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Christie Swanson
Title
PRC and Billing Specialist
Phone
(218) 757-3650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X Primary

Addresses

Primary practice location

305 Chestnut St
Virginia, MN 55792-2523

Mailing address

5219 Saint John Dr
Orr, MN 55771-8232
Phone (218) 757-3650

Other names 1

  • BOIS FORTE VIRGINIA PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vermilion Pharmacy9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

305 Chestnut St
Virginia, MN 55792
Phone (218) 749-6287

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": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1144016957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SAINT JOHN DR",
            "city": "ORR",
            "state": "MN",
            "postal_code": "557718232",
            "telephone_number": "218-757-3650",
            "fax_number": "218-757-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 CHESTNUT ST",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922523",
            "telephone_number": "218-757-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOIS FORTE RESERVATION TRIBAL COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "PRC AND BILLING SPECIALIST",
        "authorized_official_telephone_number": "218-757-3650"
    },
    "taxonomies": [
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOIS FORTE VIRGINIA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.