Active NPI
Fergus Apothecary Inc
- Community/Retail Pharmacy
- Fergus Falls, MN
National Provider Identifier
1306536651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- FERGUS APOTHECARY INC
- Practice address
- 113 E Lincoln Ave
Fergus Falls, MN 56537-2216 - Phone
- (218) 998-1940
- Fax
- (218) 517-1289
- NPI assigned
- May 10, 2023
- Last updated
- Jun 24, 2025
- 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
- Jay Harvey Olson, RPH
- Title
- Owner
- Phone
- (218) 205-7313
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
113 E Lincoln Ave
Fergus Falls, MN 56537-2216
Mailing address
113 E Lincoln Ave
Fergus Falls, MN 56537-2216
Phone (218) 205-7313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306536651 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241202000249 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 1254866189 | Practice locations: Fergus Falls, MN |
National Provider Directory
National Provider DirectoryLocations
113 E Lincoln Ave
Fergus Falls, MN 56537
Phone (218) 736-3620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community/Retail Pharmacy
- Battle Lake, MN
- NPI 1073194510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750723200000",
"number": "1306536651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 E LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372216",
"telephone_number": "218-205-7313",
"fax_number": "218-517-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E LINCOLN AVE",
"city": "FERGUS FALLS",
"state": "MN",
"postal_code": "565372216",
"telephone_number": "218-998-1940",
"fax_number": "218-517-1289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERGUS APOTHECARY INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-10",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "HARVEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "218-205-7313",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306536651",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fergus Falls, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.