Organization Active NPI

Valley Markets Inc

Doing business as Hugos Family Pharmacy

  • Community/Retail Pharmacy
  • Thief River Falls, MN
National Provider Identifier
1477626786
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262446 Issued in MN
Legal business name
VALLEY MARKETS INC
Doing business as
Hugos Family Pharmacy
Practice address
215 Pennington Ave
Thief River Falls, MN 56701-2900
Phone
(218) 681-1515
Fax
(218) 681-1561
NPI assigned
Nov 16, 2006
Last updated
Jul 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
Max Thompson, PHARMDNPI 1801498134
Title
Pharmacy Manager
Phone
(218) 681-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 262446 MN Primary

Addresses

Primary practice location

215 Pennington Ave
Thief River Falls, MN 56701-2900

Mailing address

215 Pennington Ave
Thief River Falls, MN 56701-2900
Phone (218) 681-1515

Other identifiers 2

IdentifierTypeStateIssuer
2048515OtherPK
250429400MedicaidMN

Other names 1

  • HUGOS FAMILY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190128002347 MN Part B Supplier - Pharmacy 5193062289 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Crookston, MN; East Grand Forks, MN; Thief River Falls, MN

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Valley Markets Inc4 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.

Practitioners & affiliated clinicians

Practitioners 4

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1477626786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 PENNINGTON AVE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012900",
            "telephone_number": "218-681-1515",
            "fax_number": "218-681-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 PENNINGTON AVE",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "567012900",
            "telephone_number": "218-681-1515",
            "fax_number": "218-681-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MARKETS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "218-681-1515",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250429400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUGOS FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thief River Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.