Organization Active NPI

Stage Enterprises LLC

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1366516882
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264630 Issued in MN
Legal business name
STAGE ENTERPRISES LLC
Doing business as
Schneider Drug
Practice address
3400 University Ave SE
Minneapolis, MN 55414-3328
Phone
(612) 379-7232
Fax
(612) 379-7233
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
James Stage
Title
RPH/President
Phone
(651) 645-8636

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 264630 MN Primary

Addresses

Primary practice location

3400 University Ave SE
Minneapolis, MN 55414-3328

Mailing address

3400 University Ave SE
Minneapolis, MN 55414-3328
Phone (612) 379-7232

Other identifiers 1

IdentifierTypeStateIssuer
2151017OtherPK

Other names 1

  • Schneider Drug Doing business as

National Provider Directory

National Provider Directory

Locations

3400 University Ave SE
Minneapolis, MN 55414
Phone (612) 379-7232

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1366516882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143328",
            "telephone_number": "612-379-7232",
            "fax_number": "612-379-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 UNIVERSITY AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143328",
            "telephone_number": "612-379-7232",
            "fax_number": "612-379-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "STAGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "RPH/PRESIDENT",
        "authorized_official_telephone_number": "651-645-8636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151017",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schneider Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.