NPIMap

Organization Active NPI

Astrup Drug Inc

  • Community/Retail Pharmacy
  • Fairmont, MN
National Provider Identifier
1184728271
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264421 Issued in MN
Legal business name
ASTRUP DRUG INC
Practice address
322 S State St
Five Lakes Ctr
Fairmont, MN 56031-4139
Phone
(507) 238-2797
Fax
(507) 238-4701
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
David Brooks
Title
District Pharmacy Manager
Phone
(612) 618-6340

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 264421 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

322 S State St
Five Lakes Ctr
Fairmont, MN 56031-4139

Mailing address

905 N Main St
Box 658
Austin, MN 55912-3357
Phone (507) 434-7428

Other identifiers 2

IdentifierTypeStateIssuer
772557400MedicaidMN
2044013OtherPK

Other names 1

  • STERLING DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061018000102 MN Part B Supplier - Mass Immunization (Roster Biller Only) 7810993623 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worthington, MN; Austin, MN; Spring Grove, MN; Rushford, MN; Owatonna, MN; Northfield, MN; Mendota Heights, MN; Le Sueur, MN…
O20100930064794 MN DME Supplier - Pharmacy 7810993623 Practice locations: Fairmont, MN

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Sterling LTC Pharmacy40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

905 N Main St
#658
Austin, MN 55912

322 S State St
#Five
Fairmont, MN 56031
Phone (507) 238-2797

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1184728271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST",
            "address_2": "BOX 658",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123357",
            "telephone_number": "507-434-7428",
            "fax_number": "507-433-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S STATE ST",
            "address_2": "FIVE LAKES CTR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314139",
            "telephone_number": "507-238-2797",
            "fax_number": "507-238-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRUP DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DISTRICT PHARMACY MANAGER",
        "authorized_official_telephone_number": "612-618-6340"
    },
    "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": "264421",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772557400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2044013",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING DRUG",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STERLING DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairmont, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.