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
-
Tricia Kay North, PHARMD
-
Daniel M Kainz, RPH
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Newport Drug Inc |
Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930062924 | MN | DME Supplier - Pharmacy |
2567589104 | Practice locations: Newport, MN |
National Provider Directory
Locations
1644 Hastings Ave
Newport, MN 55055
Phone (651) 459-9533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2141472 | Other | PK |
Other names
- Newport Drugs Inc
NPI Registry JSON
{
"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
- Daniel M Kainz
- William John Keyes
- Aryam Tekeste Kiflai
- Mentoring Professionals, LLC Dba Oak Tree Support Services
- Michael J Roscher DDS, PA
- David North
- Tricia Kay North
- Monsurat Oluwa-Okougbo
- Phoenix Residence, Inc.
- Michael Jay Roscher
All providers in Newport, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.