Herrmann Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262685 Issued in MN

Legal business name

HERRMANN DRUG INC

Practice address

744 Ash St NE
Lonsdale, MN 55046-9622

Phone

(507) 744-3373

Fax

(507) 744-3374

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Troy Rabenberg, RPH

Title

President

Phone

(507) 364-7717

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HERRMANN THRIFTY WHITE PHARMACY Doing business as

Tax ID family

Herrmann Drug2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Herrmann Drug Inc.

  • Community/Retail Pharmacy
  • Montgomery, MN
  • NPI 1558306753
  NPD tax ID

Locations

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1487690848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 ASH ST NE",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550469622",
            "telephone_number": "507-744-3373",
            "fax_number": "507-744-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 ASH ST NE",
            "city": "LONSDALE",
            "state": "MN",
            "postal_code": "550469622",
            "telephone_number": "507-744-3373",
            "fax_number": "507-744-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRMANN DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "RABENBERG",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-364-7717",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048610",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385402700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERRMANN THRIFTY WHITE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Lonsdale, MN
• Providers in Lonsdale, MN by specialty
• Community/Retail Pharmacy in Minnesota

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