Active NPI
Nancy V Samuelson
- Pharmacy Technician
- Starbuck, MN
National Provider Identifier
1477559565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 700466-9
- Practice address
- 118 West 5TH St
Starbuck, MN 56381-0399 - Phone
- (320) 239-2246
- Fax
- (320) 239-2296
- NPI assigned
- Jun 22, 2005
- Last updated
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 700466-9 | MN | Primary |
Addresses
Primary practice location
118 West 5TH St
Starbuck, MN 56381-0399
Mailing address
710 Meadow LN
Starbuck, MN 56381-4504
Phone (320) 239-4361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700466-9 | MN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Das Pharmaceutical Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Samuelson Drug Store
- Community/Retail Pharmacy
- Starbuck, MN
- NPI 1477667467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1477559565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 MEADOW LN",
"city": "STARBUCK",
"state": "MN",
"postal_code": "563814504",
"telephone_number": "320-239-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 WEST 5TH ST",
"city": "STARBUCK",
"state": "MN",
"postal_code": "563810399",
"telephone_number": "320-239-2246",
"fax_number": "320-239-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELSON",
"first_name": "NANCY",
"middle_name": "V",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": "700466-9",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starbuck, MN
- Alicia Leah Oeltjen, MSW LICSW
- Gregory Paul Rapp, PA-C
- Brittany Roers, LPCC
- Donald Allan Samuelson, RPH
- John Theodore Samuelson, PHARMACIST
- Ranae Marie Spore, PHARMACY TEC.
- Starbuck Clinic PLLC
- Renea L Steenblock, PT
- Stevens Community Medical Center Inc (Starbuck Clinic)
- Stevens Community Medical Center Inc. (Starbuck Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.