NPIMap

Organization Active NPI

Twin Valley Pharmacy LLC

  • Community/Retail Pharmacy
  • Ulen, MN
National Provider Identifier
1346757457
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
265454 Issued in MN
Legal business name
TWIN VALLEY PHARMACY LLC
Doing business as
Twin Valley Pharmacy- Ulen
Practice address
108 Viking Ave W.
Ulen, MN 56585
Phone
(218) 584-5147
NPI assigned
Jan 10, 2018
Organization subpart
Yes
Parent organization
TWIN VALLEY PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Nicole Karleen Kruger, PHARMD
Title
Owner/President
Phone
(218) 584-5147

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 265454 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

108 Viking Ave W.
Ulen, MN 56585

Mailing address

PO Box 427
Twin Valley, MN 56584-0427
Phone (218) 584-5147

Other names 1

  • Twin Valley Pharmacy- Ulen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Twin Valley Pharmacy3 organizations share this tax ID, including this one
Part of
Twin Valley Pharmacy

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1346757457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "TWIN VALLEY",
            "state": "MN",
            "postal_code": "565840427",
            "telephone_number": "218-584-5147",
            "fax_number": "218-584-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 VIKING AVE W.",
            "city": "ULEN",
            "state": "MN",
            "postal_code": "56585",
            "telephone_number": "218-584-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN VALLEY PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWIN VALLEY PHARMACY LLC",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KARLEEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "218-584-5147",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "265454",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Valley Pharmacy- Ulen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ulen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.