Liebe Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

260235 Issued in MN

Legal business name

LIEBE DRUG INC

Doing business as

Liebe Drug

Practice address

332 4TH Broadway
Browns Valley, MN 56219-0256

Phone

(320) 695-2331

Fax

(320) 695-2518

NPI assigned

Jun 13, 2005

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ellen Johnson

Title

Manager Pharmcist

Phone

(320) 695-2331

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• LIEBE DRUG Doing business as

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1356345896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX K",
            "city": "BROWNS VALLEY",
            "state": "MN",
            "postal_code": "562190256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 4TH BROADWAY",
            "city": "BROWNS VALLEY",
            "state": "MN",
            "postal_code": "562190256",
            "telephone_number": "320-695-2331",
            "fax_number": "320-695-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGER PHARMCIST",
        "authorized_official_telephone_number": "320-695-2331"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260235",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8531902",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505058800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2417764",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIEBE DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Browns Valley Health Center, Inc.
• City of Browns Valley (Browns Valley Ambulance)
• Michelle A Cooley, NP-C
• Coteau Des Prairies Hospital (CDP Health Care System-Browns Valley Clinic)
• Fergus Falls Medical Group, P.a.
• Ellen Marie Nigg-Johnson, RPH
• Traverse County Ind School Dist 801

• Community/Retail Pharmacy in Browns Valley, MN
• Providers in Browns Valley, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.