Newport Drugs Inc

Organization Active NPI Community/Retail Pharmacy · Newport, MN

NPI 1184635690 · NPPES record last updated Mar 9, 2017

Key facts

NPI
1184635690
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
264166 (MN)
Legal business name
NEWPORT DRUGS INC
Practice address
1644 Hastings Ave
Newport, MN 55055-1616
Phone
(651) 459-9553
Fax
(651) 459-3134
NPI assigned
Aug 10, 2006
Organization subpart
No

Authorized official

Name
Tricia Hinz
Title
President
Phone
(651) 459-9553

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Newport Drug Inc
1644 Hastings Ave, Newport, MN 55055-1616 · (651) 459-9553
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930062924 MN DME Supplier - Pharmacy
DME Supplier - Medical Supply Company
DME Supplier - Medical Supply Company With Registered Pharmacist
2567589104 Practice locations: Newport, MN

National Provider Directory

Locations

1644 Hastings Ave
Newport, MN 55055
Phone (651) 459-9533

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 264166 MN Yes

Addresses

Primary practice location

1644 Hastings Ave
Newport, MN 55055-1616

Mailing address

1644 Hastings Ave
Newport, MN 55055-1616
Phone (651) 459-9553

Other identifiers

IdentifierTypeStateIssuer
2141472OtherPK

Other names

  • Newport Drugs Inc Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 9, 2017.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1184635690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 HASTINGS AVE",
            "city": "NEWPORT",
            "state": "MN",
            "postal_code": "550551616",
            "telephone_number": "651-459-9553",
            "fax_number": "651-459-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 HASTINGS AVE",
            "city": "NEWPORT",
            "state": "MN",
            "postal_code": "550551616",
            "telephone_number": "651-459-9553",
            "fax_number": "651-459-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "HINZ",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-459-9553"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141472",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newport Drugs Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, MN

All providers in Newport, MN · Community/Retail Pharmacy in Minnesota

Sources for this page

Verify at the official NPI Registry.