Active NPI
Astrup Drug Inc
- Long Term Care Pharmacy
- Owatonna, MN
National Provider Identifier
1447354535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 3823
- 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
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
905 N Main St
#740
Austin, MN 55912
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 264431 | MN | |
| Long Term Care Pharmacy | 3336L0003X | 3823 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048197 | Other | PK | |
| 327142100 | Medicaid | MN |
Other names 1
NPPES NPI Registry- STERLING LTC PHARMACY
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.