NPIMap

Organization Active NPI

Nis Pharmacy Services, LTD

Doing business as GuidePoint Pharmacy #109

  • Community/Retail Pharmacy
  • Longville, MN
National Provider Identifier
1548624778
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264101 Issued in MN
Legal business name
NIS PHARMACY SERVICES, LTD
Doing business as
GuidePoint Pharmacy #109
Practice address
1472 Cty Rd 5
Longville, MN 56655
Phone
(218) 363-2640
Fax
(218) 363-2641
NPI assigned
Apr 13, 2016
Last updated
Apr 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Michael Schwartzwald, RPH
Title
President
Phone
(218) 829-3476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 264101 MN Primary

Addresses

Primary practice location

1472 Cty Rd 5
Longville, MN 56655

Mailing address

14091 Baxter Dr
Baxter, MN 56425-8699
Phone (218) 829-3473

Other identifiers 1

IdentifierTypeStateIssuer
2431904OtherNCPDP

Other names 1

  • GuidePoint Pharmacy #109 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guidepoint Pharmacy 1093 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

14091 Baxter Dr
Baxter, MN 56425

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1548624778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14091 BAXTER DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258699",
            "telephone_number": "218-829-3473",
            "fax_number": "218-454-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1472 CTY RD 5",
            "city": "LONGVILLE",
            "state": "MN",
            "postal_code": "56655",
            "telephone_number": "218-363-2640",
            "fax_number": "218-363-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIS PHARMACY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-3476",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2431904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GuidePoint Pharmacy #109",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.