Active NPI
Healtheast St Josephs Hospital
Doing business as HealthEast Pharmacy - St. Paul
- Community/Retail Pharmacy
- Saint Paul, MN
National Provider Identifier
1417499120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 265311
- Legal business name
- HEALTHEAST ST JOSEPHS HOSPITAL
- Doing business as
- HealthEast Pharmacy - St. Paul
- Practice address
- Gallery Professional Building Suite #150
17 West Exchange Street
St Paul, MN 55102-1045 - Phone
- (651) 326-4505
- Fax
- (651) 623-4510
- NPI assigned
- Nov 11, 2016
- Last updated
- May 1, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Else
- Title
- System Pharmacy Director
- Phone
- (651) 232-3648
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 265311 | MN | Primary |
Addresses
Primary practice location
Gallery Professional Building Suite #150
17 West Exchange Street
St Paul, MN 55102-1045
Mailing address
Gallery Professional Building Suite #150
17 West Exchange Street
St Paul, MN 55102-1045
Phone (651) 326-4505
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2167339 | Other | PK | |
| 712047800 | Medicaid | MN |
Other names 1
- HealthEast Pharmacy - St. Paul
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Emergency Medicine Physician
- Saint Paul, MN
- NPI 1841356821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493596800000",
"number": "1417499120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GALLERY PROFESSIONAL BUILDING SUITE #150",
"address_2": "17 WEST EXCHANGE STREET",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551021045",
"telephone_number": "651-326-4505",
"fax_number": "651-623-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "GALLERY PROFESSIONAL BUILDING SUITE #150",
"address_2": "17 WEST EXCHANGE STREET",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551021045",
"telephone_number": "651-326-4505",
"fax_number": "651-623-4510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHEAST ST JOSEPHS HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-11",
"last_updated": "2017-05-01",
"status": "A",
"authorized_official_last_name": "ELSE",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "SYSTEM PHARMACY DIRECTOR",
"authorized_official_telephone_number": "651-232-3648"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "265311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2167339",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "712047800",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthEast Pharmacy - St. Paul",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Paul, MN
- Healtheast Medical Research Institute (HealthEast Medical Care for Seniors)
- Healtheast Medical Research Institute (HealthEast Roselawn Clinic)
- Healtheast Outpatient Services, LLC
- Healtheast St Josephs Hospital
- Healtheast St Josephs Hospital
- Healtheast St. John's Hospital
- Healtheast St. John's Hospital
- Healtheast St. Joseph's Hospital (HealthEast Hospice)
- Healthpoint Services LLC
- Healthquest Sports Injury and Chiropractic Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.