Active NPI
Ellen C. Taube, R.PH.
- Pharmacist
- Virginia, MN
National Provider Identifier
1417259110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114202
- Practice address
- 306 Chestnut
Virginia, MN 55792 - Phone
- (218) 749-6333
- Fax
- (218) 749-2731
- NPI assigned
- Dec 1, 2010
- Last updated
- Dec 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 114202 | MN | Primary |
Addresses
Primary practice location
306 Chestnut
Virginia, MN 55792
Mailing address
306 Chestnut St
Virginia, MN 55792
Phone (218) 749-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114202 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Drug Enterprises Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thrifty White Pharmacy #038
- Community/Retail Pharmacy
- Virginia, MN
- NPI 1235229162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1417259110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CHESTNUT ST",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "55792",
"telephone_number": "218-749-6333",
"fax_number": "218-749-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 CHESTNUT",
"city": "VIRGINIA",
"state": "MN",
"postal_code": "55792",
"telephone_number": "218-749-6333",
"fax_number": "218-749-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAUBE",
"first_name": "ELLEN",
"middle_name": "C.",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-01",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.