Rich Apothecary Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263101 Issued in MN

Legal business name

RICH APOTHECARY INC

Doing business as

Lake Elmo Pharmacy

Practice address

11240 Stillwater Blvd N
Lake Elmo, MN 55042-9321

Phone

(651) 773-0889

Fax

(651) 773-9449

NPI assigned

Nov 13, 2007

Last updated

Sep 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Rich, PHRMD

Title

Pic

Phone

(651) 773-0889

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• LAKE ELMO PHARMACY Doing business as

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1174703649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11240 STILLWATER BLVD N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429321",
            "telephone_number": "651-773-0889",
            "fax_number": "651-773-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 STILLWATER BLVD N",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550429321",
            "telephone_number": "651-773-0889",
            "fax_number": "651-773-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICH APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "651-773-0889",
        "authorized_official_credential": "PHRMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263101",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049334",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE ELMO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adam Ridgeway, DDS
• Clare Marie Riley, MA
• Andrea Susan Robertson, MSW, LICSW
• Victor Manuel Rodriguez
• Mark Allen Roettger, DDS

• Community/Retail Pharmacy in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.