Organization Active NPI

Firstsolutions

Doing business as SuperiorHealth Pharmacy

  • Community/Retail Pharmacy
  • Duluth, MN
National Provider Identifier
1457386245
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
261320-4 Issued in MN
Legal business name
FIRSTSOLUTIONS
Doing business as
SuperiorHealth Pharmacy
Practice address
1502 London Rd
Suite 101
Duluth, MN 55812-1788
Phone
(218) 733-1110
Fax
(218) 733-1112
NPI assigned
Jul 11, 2006
Last updated
May 14, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
FIRSTSOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Mr. Terry R Jacobson
Title
Ceo
Phone
(218) 740-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 261320-4 MN Primary

Addresses

Primary practice location

1502 London Rd
Suite 101
Duluth, MN 55812-1788

Mailing address

1502 London Rd
Suite 101
Duluth, MN 55812-1788
Phone (218) 733-1110

Other identifiers 1

IdentifierTypeStateIssuer
083323100MedicaidMN

Other names 1

  • SuperiorHealth Pharmacy Doing business as

National Provider Directory

National Provider Directory
Part of
Proctor Family Medical

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1457386245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-733-1110",
            "fax_number": "218-733-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 101",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-733-1110",
            "fax_number": "218-733-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSOLUTIONS",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "218-740-2330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261320-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083323100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperiorHealth Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.