Phillip a Qualey

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

259978 Issued in MN

Legal business name

PHILLIP A QUALEY

Doing business as

Adams Drug

Practice address

11 SW 4TH St
Adams, MN 55909-9688

Phone

(507) 582-3380

Fax

(507) 582-1024

NPI assigned

Aug 10, 2006

Last updated

Nov 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phil Qualey

Title

Owner

Phone

(507) 582-3380

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ADAMS DRUG Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1265443774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "ADAMS",
            "state": "MN",
            "postal_code": "559090324",
            "telephone_number": "507-582-3380",
            "fax_number": "507-582-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SW 4TH ST",
            "city": "ADAMS",
            "state": "MN",
            "postal_code": "559099688",
            "telephone_number": "507-582-3380",
            "fax_number": "507-582-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP A QUALEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "QUALEY",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-582-3380"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "259978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2414403",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "659057800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADAMS DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Adams, MN
• Providers in Adams, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.