Active NPI
Seip Drug LLC
- Community/Retail Pharmacy
- Detroit Lakes, MN
National Provider Identifier
1548398803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 262974
- Legal business name
- SEIP DRUG LLC
- Doing business as
- SEIP PRESCRIPTION SHOPPE
- Practice address
- 310 Frazee St E
Detroit Lakes, MN 56501-3604 - Phone
- (218) 847-3146
- Fax
- (218) 847-7636
- NPI assigned
- Mar 1, 2007
- 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
- Nathan Seip
- Title
- Chief MNGR
- Phone
- (218) 640-2722
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 262974 | MN | Primary |
| Long Term Care Pharmacy | 3336L0003X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
310 Frazee St E
Detroit Lakes, MN 56501-3604
Mailing address
310 Frazee St E
Detroit Lakes, MN 56501-3604
Phone (218) 847-3146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870019200 | Medicaid | MN | |
| 2422400 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- SEIP PRESCRIPTION SHOPPE
National Provider Directory
National Provider DirectoryLocations
310 Frazee St E
Detroit Lakes, MN 56501
Phone (218) 847-3146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289865600000",
"number": "1548398803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 FRAZEE ST E",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013604",
"telephone_number": "218-847-3146",
"fax_number": "218-847-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 FRAZEE ST E",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565013604",
"telephone_number": "218-847-3146",
"fax_number": "218-847-7636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEIP DRUG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2010-11-16",
"status": "A",
"authorized_official_last_name": "SEIP",
"authorized_official_first_name": "NATHAN",
"authorized_official_title_or_position": "CHIEF MNGR",
"authorized_official_telephone_number": "218-640-2722"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "262974",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "870019200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2422400",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SEIP PRESCRIPTION SHOPPE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.