Individual provider Active NPI

Quinn Sweeney

  • Pharmacist
  • Lake City, MN
National Provider Identifier
1316558364
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120510 Issued in MN
Practice address
223 S Lakeshore Dr
Lake City, MN 55041-1642
Phone
(651) 345-3411
Fax
(651) 345-4848
NPI assigned
Aug 13, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 120510 MN Primary

Addresses

Primary practice location

223 S Lakeshore Dr
Lake City, MN 55041-1642

Mailing address

1426 Woodland Way
Lake City, MN 55041-6109
Phone (651) 380-1255

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pharmacy38@astrupcompanies.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
120510MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1316558364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 WOODLAND WAY",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550416109",
            "telephone_number": "651-380-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MN",
            "postal_code": "550411642",
            "telephone_number": "651-345-3411",
            "fax_number": "651-345-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "QUINN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacy38@astrupcompanies.com",
            "affiliation": "N",
            "address_1": "223 S Lakeshore Dr",
            "city": "Lake City",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550411642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.