Active NPI
Rushford Drug Co
Doing business as Witts Pharmacy
- Community/Retail Pharmacy
- Rushford, MN
National Provider Identifier
1528081494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402484 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 058602100 | Medicaid | MN |
Other names 1
- WITTS PHARMACY
National Provider Directory
National Provider DirectoryNPI 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.