Organization Active NPI

Chernugal Inc

Doing business as Medsave Family Pharmacy

  • Community/Retail Pharmacy
  • Bemidji, MN
National Provider Identifier
1467458323
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
259951 Issued in MN
Legal business name
CHERNUGAL INC
Doing business as
Medsave Family Pharmacy
Practice address
217 Paul Bunyan Dr NW
Bemidji, MN 56601-2433
Phone
(218) 759-1222
Fax
(218) 444-5292
NPI assigned
Jun 24, 2005
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Richard Cherunugal, RPH
Title
Owner and Pres
Phone
(218) 759-1222

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 259951 MN Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

217 Paul Bunyan Dr NW
Bemidji, MN 56601-2433

Mailing address

217 Paul Bunyan Dr NW
Bemidji, MN 56601-2433
Phone (218) 759-1222

Other identifiers 3

IdentifierTypeStateIssuer
1467458323MedicaidMN
2046085OtherPK
896057700MedicaidMN

Other names 1

  • MEDSAVE FAMILY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chernugal Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1467458323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012433",
            "telephone_number": "218-759-1222",
            "fax_number": "218-759-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012433",
            "telephone_number": "218-759-1222",
            "fax_number": "218-444-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERNUGAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "CHERUNUGAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER AND PRES",
        "authorized_official_telephone_number": "218-759-1222",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "259951",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467458323",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046085",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896057700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSAVE FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.