Organization Active NPI

Seip Drug LLC

  • Community/Retail Pharmacy
  • Detroit Lakes, MN
National Provider Identifier
1548398803
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262974 Issued in MN
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

Updated by the provider on Nov 16, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
870019200MedicaidMN
2422400OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • SEIP PRESCRIPTION SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.