Black Forest Pharmacy Services LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

261373 Issued in MN

Legal business name

BLACK FOREST PHARMACY SERVICES LTD

Doing business as

Guidepoint Pharmacy #101

Practice address

108 S 6TH St
Brainerd, MN 56401-3575

Phone

(218) 829-0347

Fax

(218) 829-4701

NPI assigned

Aug 19, 2006

Last updated

Jan 6, 2016By 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

Mike Schwartzwald, RPH

Title

President

Phone

(218) 829-0347

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GUIDEPOINT PHARMACY #101 Doing business as

Medicare fee-for-service enrollment

Enrolled in MN3 enrollments

Enrollment records 3

Tax ID family

Black Forest Pharmacy Services LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Black Forest Pharmacy Services LTD

  • Long Term Care Pharmacy
  • Brainerd, MN
  • NPI 1457832909
  NPD tax ID
• Black Forest Pharmacy Services LTD

  dba Guidepoint LTC Pharmacy #201

  • Long Term Care Pharmacy
  • Brainerd, MN
  • NPI 1861636268
  NPD tax ID
• Black Forest Pharmacy Services, LTD

  dba GuidePoint Pharmacy #101

  • Community/Retail Pharmacy
  • Brainerd, MN
  • NPI 1952755126
  NPD tax ID

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1407960875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-829-0347",
            "fax_number": "218-829-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-829-0347",
            "fax_number": "218-829-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK FOREST PHARMACY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-0347",
        "authorized_official_credential": "RPH"
    },
    "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": "261373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045758",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "842987100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUIDEPOINT PHARMACY #101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Ann Berent, PROVISIONAL LICSW
• John C Berg, MD
• Nicholas P Bernier, MD
• Ralph Berry, LADC
• Lorelee Lynn Beto, MSW, LGSW
• Black Forest Pharmacy Services LTD
• Black Forest Pharmacy Services LTD (Guidepoint LTC Pharmacy #201)
• Black Forest Pharmacy Services, LTD (GuidePoint Pharmacy #101)
• Lauren M Blaine, APRN,CNP
• Chad Matthew Bleske, MD

• Community/Retail Pharmacy in Brainerd, MN
• Providers in Brainerd, 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 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.