Organization Active NPI

Astrup Drug Inc

  • Long Term Care Pharmacy
  • Owatonna, MN
National Provider Identifier
1447354535
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
3823 Issued in IA
Legal business name
ASTRUP DRUG INC
Practice address
1601 State Ave NW
Owatonna, MN 55060-5689
Phone
(507) 455-9684
Fax
(507) 455-1750
NPI assigned
Sep 11, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
David Brooks
Title
District Pharmacy Manager
Phone
(612) 618-6340

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 39

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

View all 39

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061018000102 MN Part B Supplier - Mass Immunization (Roster Biller Only) 7810993623 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worthington, MN; Austin, MN; Spring Grove, MN; Rushford, MN; Owatonna, MN; Northfield, MN; Mendota Heights, MN; Le Sueur, MN…
O20100930001921 MN DME Supplier - Pharmacy 7810993623 Practice locations: Owatonna, MN

National Provider Directory

Tax ID family
Sterling LTC Pharmacy (40 organizations share this tax ID)

Locations

905 N Main St
#740
Austin, MN 55912

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 264431 MN
Long Term Care Pharmacy 3336L0003X 3823 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1601 State Ave NW
Owatonna, MN 55060-5689

Mailing address

905 N Main St
Box 740
Austin, MN 55912-3357
Phone (507) 434-7428

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2048197OtherPK
327142100MedicaidMN

Other names 1

NPPES NPI Registry
  • STERLING LTC PHARMACY Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 22, 2017.

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1447354535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST",
            "address_2": "BOX 740",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123357",
            "telephone_number": "507-434-7428",
            "fax_number": "507-433-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 STATE AVE NW",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550605689",
            "telephone_number": "507-455-9684",
            "fax_number": "507-455-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRUP DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DISTRICT PHARMACY MANAGER",
        "authorized_official_telephone_number": "612-618-6340"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "264431",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IA",
            "license": "3823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048197",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327142100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING LTC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.