Active NPI
Loled Acoustic Tours, Inc.
- Durable Medical Equipment & Medical Supplies
- Zumbrota, MN
National Provider Identifier
1285641423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LOLED ACOUSTIC TOURS, INC.
- Practice address
- 370 S Main St
Zumbrota, MN 55992-1544 - Phone
- (507) 732-5311
- NPI assigned
- Aug 1, 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. Michael S Brengman, R.PH
- Title
- President
- Phone
- (507) 732-5311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
370 S Main St
Zumbrota, MN 55992-1544
Mailing address
370 S Main St
Zumbrota, MN 55992-1544
Phone (507) 732-5311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 587760100 | Medicaid | MN |
Other names 1
- ZUMBROTA MAIN STREET PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1285641423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 S MAIN ST",
"city": "ZUMBROTA",
"state": "MN",
"postal_code": "559921544",
"telephone_number": "507-732-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 S MAIN ST",
"city": "ZUMBROTA",
"state": "MN",
"postal_code": "559921544",
"telephone_number": "507-732-5311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOLED ACOUSTIC TOURS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-01",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "BRENGMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-732-5311",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R.PH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "587760100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ZUMBROTA MAIN STREET PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Zumbrota, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.