WTGN Pharmacy Services LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262397 Issued in MN

Legal business name

WTGN PHARMACY SERVICES LTD

Doing business as

Guidepoint Pharmacy #104

Practice address

607 10TH St
Worthington, MN 56187-2722

Phone

(507) 372-7371

Fax

(507) 372-7781

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Jason Turner, RPH

Title

VP / Pic

Phone

(507) 372-7371

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• GUIDEPOINT PHARMACY #104 Doing business as

Locations

Practitioners 2

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

• Michael David Ahlers, PHARMD

  • Pharmacist
  • Worthington, MN
  • NPI 1447414818
  NPD (past)
• James Allen Roe, PHARM.D

  • Pharmacist
  • Worthington, MN
  • NPI 1043209299
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1447364815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST",
            "address_2": "#1",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-829-0347",
            "fax_number": "218-829-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 10TH ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872722",
            "telephone_number": "507-372-7371",
            "fax_number": "507-372-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WTGN PHARMACY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VP / PIC",
        "authorized_official_telephone_number": "507-372-7371",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262397",
            "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": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2418499",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713727",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165118800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUIDEPOINT PHARMACY #104",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greg Wollman
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• Worthington Family Dental
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• Hee J. Yoon, M.D.
• Melissa Zastoupil

• Community/Retail Pharmacy in Worthington, MN
• Providers in Worthington, 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 Apr 18, 2011; 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.