Organization Active NPI

Drug Express Pharmacies Inc

  • Community/Retail Pharmacy
  • Belle Plaine, MN
National Provider Identifier
1205979978
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260271 Issued in MN
Legal business name
DRUG EXPRESS PHARMACIES INC
Doing business as
OTTO DRUG EXPRESS AND GIFT
Practice address
613 E Main St
Belle Plaine, MN 56011-2213
Phone
(952) 873-6220
Fax
(952) 873-3456
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Dale Otto, RPH
Title
Owner
Phone
(952) 873-6220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 260271 MN Primary

Addresses

Primary practice location

613 E Main St
Belle Plaine, MN 56011-2213

Mailing address

613 E Main St
Belle Plaine, MN 56011-2213
Phone (952) 873-6220

Other identifiers 2

IdentifierTypeStateIssuer
2417168OtherNCPDP PROVIDER IDENTIFICATION NUMBER
580758100MedicaidMN

Other names 1

  • OTTO DRUG EXPRESS AND GIFT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drug Express and Variety Galore3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

613 E Main St
Belle Plaine, MN 56011
Phone (952) 873-6220

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1205979978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 E MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560112213",
            "telephone_number": "952-873-6220",
            "fax_number": "952-873-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 E MAIN ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560112213",
            "telephone_number": "952-873-6220",
            "fax_number": "952-873-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG EXPRESS PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-873-6220",
        "authorized_official_credential": "RPH"
    },
    "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": "260271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2417168",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "580758100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTTO DRUG EXPRESS AND GIFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Plaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.