Lab Drugs & Medical-Trans-Supplies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264105 Issued in MN

Legal business name

LAB DRUGS & MEDICAL-TRANS-SUPPLIES LLC

Practice address

365 University Ave W
Saint Paul, MN 55103-2018

Phone

(763) 777-5995

Fax

(763) 777-5974

NPI assigned

Jan 25, 2013

Organization subpart

No

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

Authorized official

Name

Lola IsholaNPI 1043543952

Title

Pharmacist/Owner

Phone

(763) 777-5995

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• POLAR PHARMACY & MEDICAL SUPPLIES Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lola Lawal Ishola

  • Pharmacist
  • North Saint Paul, MN
  • NPI 1043543952
  NPD (past) Authorized official

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1417295403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032018",
            "telephone_number": "763-777-5995",
            "fax_number": "763-777-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032018",
            "telephone_number": "763-777-5995",
            "fax_number": "763-777-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB DRUGS & MEDICAL-TRANS-SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "ISHOLA",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "763-777-5995"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264105",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610459",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLAR PHARMACY & MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie Kyllo-Peters, PT
• Jennifer H Kyllo, MD
• Marit Kyllo, L.A.M.F.T.
• La Familia Guidance Center
• Vanesa Concepcion La Torre Martinez
• Thomas Laberge, MD
• Laboratory Corporation of America Holdings
• Scott Allen Labott Jr.
• Karen S Labounty, PHD, LP
• Beverly Labrie, LMFT

• Community/Retail Pharmacy in Saint Paul, MN
• Providers in Saint Paul, 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 Sep 21, 2016; 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.