Organization Active NPI

Bingamite

Doing business as Pasek Pharmacy

  • Community/Retail Pharmacy
  • Duluth, MN
National Provider Identifier
1205978996
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
200610-9 Issued in MN
Legal business name
BINGAMITE
Doing business as
Pasek Pharmacy
Practice address
113 N 2ND Ave W
Duluth, MN 55802-1911
Phone
(218) 722-3977
Fax
(218) 726-9087
NPI assigned
Feb 12, 2007
Last updated
Dec 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Charles Korsch, RPH
Title
Ceo
Phone
(218) 722-3977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 200610-9 MN Primary

Addresses

Primary practice location

113 N 2ND Ave W
Duluth, MN 55802-1911

Mailing address

113 N 2ND Ave W
Duluth, MN 55802-1911
Phone (218) 722-3977

Other identifiers 1

IdentifierTypeStateIssuer
24-22638OtherMNNABP

Other names 1

  • PASEK PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

113 N 2nd Ave W
Duluth, MN 55802
Phone (218) 382-5423

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1205978996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N 2ND AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021911",
            "telephone_number": "218-722-3977",
            "fax_number": "218-726-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N 2ND AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021911",
            "telephone_number": "218-722-3977",
            "fax_number": "218-726-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BINGAMITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "KORSCH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-722-3977",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "200610-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "24-22638",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASEK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.