NPIMap

Organization Active NPI

Black Forest Pharmacy Services LTD

  • Long Term Care Pharmacy
  • Brainerd, MN
National Provider Identifier
1457832909
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
261373 Issued in MN
Legal business name
BLACK FOREST PHARMACY SERVICES LTD
Practice address
108 S 6TH St Ste 1
Brainerd, MN 56401-3594
Phone
(218) 829-0347
Fax
(218) 829-4701
NPI assigned
Aug 23, 2018
Last updated
Aug 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Authorized official

Name
Michael R SchwartzwaldNPI 1235128299
Title
President
Phone
(218) 829-3476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 261373 MN Primary

Addresses

Primary practice location

108 S 6TH St Ste 1
Brainerd, MN 56401-3594

Mailing address

14091 Baxter Dr Ste 201B
Baxter, MN 56425-8835
Phone (218) 829-3476

Other identifiers 1

IdentifierTypeStateIssuer
1407960875MedicaidMN

Other names 1

  • GuidePoint Pharmacy #101 LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Black Forest Pharmacy Services LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

14091 Baxter Dr
Ste 201B
Baxter, MN 56425

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": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1457832909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14091 BAXTER DR STE 201B",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258835",
            "telephone_number": "218-829-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST STE 1",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013594",
            "telephone_number": "218-829-0347",
            "fax_number": "218-829-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK FOREST PHARMACY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-3476"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "261373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407960875",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy #101 LTC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GuidePoint Pharmacy #101 LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.