Organization Active NPI

Rushford Drug Co

Doing business as Witts Pharmacy

  • Community/Retail Pharmacy
  • Rushford, MN
National Provider Identifier
1528081494
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
RUSHFORD DRUG CO
Doing business as
Witts Pharmacy
Practice address
115 W Jessie St
Rushford, MN 55971-0370
Phone
(507) 864-2153
Fax
(507) 864-2143
NPI assigned
Jul 25, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Mr. Thomas E Witt, R. PH.
Title
Pres., Ceo
Phone
(507) 864-3238

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2613181 MN
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

115 W Jessie St
Rushford, MN 55971-0370

Mailing address

PO Box 370
Rushford, MN 55971-0370
Phone (507) 864-3238

Other identifiers 2

IdentifierTypeStateIssuer
2402484OtherOTHER ID NUMBER-COMMERCIAL NUMBER
058602100MedicaidMN

Other names 1

  • WITTS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1528081494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "RUSHFORD",
            "state": "MN",
            "postal_code": "559710370",
            "telephone_number": "507-864-3238",
            "fax_number": "507-864-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W JESSIE ST",
            "city": "RUSHFORD",
            "state": "MN",
            "postal_code": "559710370",
            "telephone_number": "507-864-2153",
            "fax_number": "507-864-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHFORD DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES., CEO",
        "authorized_official_telephone_number": "507-864-3238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R. PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2613181",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2402484",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "058602100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WITTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rushford, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.