Organization Active NPI

Loled Acoustic Tours, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Zumbrota, MN
National Provider Identifier
1285641423
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
587760100MedicaidMN

Other names 1

  • ZUMBROTA MAIN STREET PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.