Novacek Healthmart Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263641 Issued in MN

Legal business name

NOVACEK HEALTHMART PHARMACY LLC

Doing business as

Novacek HealthMart Pharmacy

Practice address

122 State Hwy 11 E
Greenbush, MN 56726

Phone

(218) 782-3456

Fax

(218) 782-3458

NPI assigned

Jan 21, 2011

Last updated

Apr 6, 2011By 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

Karen NovacekNPI 1558666511

Title

Owner/Chief Pharmacist

Phone

(218) 469-0631

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Novacek HealthMart Pharmacy Doing business as

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.

• Karen Jean Novacek, R.PH

  • Pharmacist
  • Greenbush, MN
  • NPI 1558666511
  NPD (past) Authorized official

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1376848333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "GREENBUSH",
            "state": "MN",
            "postal_code": "567260278",
            "telephone_number": "218-782-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STATE HWY 11 E",
            "city": "GREENBUSH",
            "state": "MN",
            "postal_code": "56726",
            "telephone_number": "218-782-3456",
            "fax_number": "218-782-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVACEK HEALTHMART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "NOVACEK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/CHIEF PHARMACIST",
        "authorized_official_telephone_number": "218-469-0631"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2430584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novacek HealthMart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Independent School District 2683 (Greenbush - Middle River Schools)
• Lifecare Medical Center (Lifecare Clinic Greenbush)
• Lifecare Medical Center
• Martha J Lystad, NP
• Mattson Pharmacy, Inc (Greenbush Pharmacy)
• Karen Jean Novacek, R.PH
• Lisa M. Sang

• Community/Retail Pharmacy in Greenbush, MN
• Providers in Greenbush, 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 Apr 6, 2011; 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.