Organization Active NPI

Village Apothecary Inc

  • Pharmacist
  • Battle Lake, MN
National Provider Identifier
1366657033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
261357 Issued in MN
Legal business name
VILLAGE APOTHECARY INC
Practice address
113 Lake Ave North
Battle Lake, MN 56515-0538
Phone
(218) 864-5261
Fax
(218) 864-8178
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jay OlsonNPI 1073194510
Title
President
Phone
(218) 864-5261

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 261357 MN Primary

Addresses

Primary practice location

113 Lake Ave North
Battle Lake, MN 56515-0538

Mailing address

PO Box 538
Battle Lake, MN 56515-0538
Phone (218) 864-5261

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366657033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565150538",
            "telephone_number": "218-864-5261",
            "fax_number": "218-864-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LAKE AVE NORTH",
            "city": "BATTLE LAKE",
            "state": "MN",
            "postal_code": "565150538",
            "telephone_number": "218-864-5261",
            "fax_number": "218-864-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE APOTHECARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-864-5261"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "261357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.