Organization Active NPI

Healtheast St Josephs Hospital

Doing business as HealthEast Pharmacy - St. Paul

  • Community/Retail Pharmacy
  • Saint Paul, MN
National Provider Identifier
1417499120
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
265311 Issued in MN
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2167339OtherPK
712047800MedicaidMN

Other names 1

  • HealthEast Pharmacy - St. Paul Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.