NPIMap

Organization Active NPI

The Foundation for Health Care Continuums

  • Community/Retail Pharmacy
  • Sartell, MN
National Provider Identifier
1265450670
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
261738-1 Issued in MN
Legal business name
THE FOUNDATION FOR HEALTH CARE CONTINUUMS
Doing business as
Country Store and Pharmacy
Practice address
520 1St St NE
Sartell, MN 56377-1274
Phone
(320) 255-0801
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Authorized official

Name
Brian C Kelm
Title
Ceo
Phone
(320) 253-1920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 261738-1 MN Primary

Addresses

Primary practice location

520 1St St NE
Sartell, MN 56377-1274

Mailing address

520 1St St NE
Sartell, MN 56377-1274
Phone (320) 255-0801

Other identifiers 1

IdentifierTypeStateIssuer
682650400MedicaidMN

Other names 1

  • Country Store and Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foundation for Health Care Continuums4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1265450670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 1ST ST NE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771274",
            "telephone_number": "320-255-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 1ST ST NE",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563771274",
            "telephone_number": "320-255-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNDATION FOR HEALTH CARE CONTINUUMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "KELM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-253-1920"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261738-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682650400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Store and Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.