Active NPI
P & a Drug Inc Dba Ross Westbank Pharmacy
- Community/Retail Pharmacy
- Minneapolis, MN
National Provider Identifier
1235240326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 114228-4
- Legal business name
- P & A DRUG INC DBA ROSS WESTBANK PHARMACY
- Doing business as
- ross westbank pharmacy
- Practice address
- 327 Cedar Ave S
Minneapolis, MN 55454-1030 - Phone
- (612) 333-6328
- Fax
- (612) 333-6329
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Phil M Kor
- Title
- Chief Pharmacist
- Phone
- (612) 333-6328
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 114228-4 | MN | Primary |
Addresses
Primary practice location
327 Cedar Ave S
Minneapolis, MN 55454-1030
Mailing address
327 Cedar Ave S
Minneapolis, MN 55454-1030
Phone (612) 333-6328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 357260900 | Medicaid | MN |
Other names 1
- ross westbank pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226966400000",
"number": "1235240326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 CEDAR AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541030",
"telephone_number": "612-333-6328",
"fax_number": "612-333-6329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 CEDAR AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541030",
"telephone_number": "612-333-6328",
"fax_number": "612-333-6329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "P & A DRUG INC DBA ROSS WESTBANK PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-11-18",
"status": "A",
"authorized_official_last_name": "KOR",
"authorized_official_first_name": "PHIL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF PHARMACIST",
"authorized_official_telephone_number": "612-333-6328",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "114228-4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357260900",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ross westbank pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.