Eagle Drug of Rochester Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2012371 Issued in MN

Legal business name

EAGLE DRUG OF ROCHESTER INC

Doing business as

Eagle Drug of Rochester Inc

Practice address

23 2ND St SW
Rochester, MN 55902-3017

Phone

(507) 289-3141

Fax

(507) 289-6848

NPI assigned

Apr 3, 2007

Last updated

Dec 7, 2011By 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

Warren Williams

Title

Owner

Phone

(507) 289-3141

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• EAGLE DRUG OF ROCHESTER INC Doing business as

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1275654725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023017",
            "telephone_number": "507-289-3141",
            "fax_number": "507-289-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 2ND ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023017",
            "telephone_number": "507-289-3141",
            "fax_number": "507-289-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE DRUG OF ROCHESTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-289-3141"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2012371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2407737",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141757600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAGLE DRUG OF ROCHESTER INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew W Dyer
• Sarah Elizabeth Dylla, DO
• Lillian Jane Dyre, MD
• Jaclyn Dyson
• Barbara Dyvig, RN
• Franklin Earnest IV, M.D.
• Tanner Cole Earnest
• John Edward Eaton, M.D.
• Lori L Eaton, P.T.
• Lattawat Eauchai, MD

• Community/Retail Pharmacy in Rochester, MN
• Providers in Rochester, 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 Dec 7, 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.