Rolseth Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROLSETH DRUG CO

Doing business as

wyoming drug

Practice address

26710 Forest Blvd
Wyoming, MN 55092-8022

Phone

(651) 462-2082

NPI assigned

Jun 25, 2006

Last updated

Jan 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James E Garrison

Title

President

Phone

(651) 462-2082

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• wyoming drug Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew James Garrison, PHARM.D.

  • Pharmacist
  • Wyoming, MN
  • NPI 1285225789
  NPD (past)
• Matthew Donald Solberg

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Wyoming, MN
  • NPI 1790381549
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1619903994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26710 FOREST BLVD",
            "address_2": "PO BOX 584",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928022",
            "telephone_number": "651-462-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26710 FOREST BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928022",
            "telephone_number": "651-462-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLSETH DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-462-2082"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "2056641",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183257300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "wyoming drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "wyoming drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Scott Renwick, MS, LICSW
• Scott C Repa, DO
• Raquel Christine Robinson, HIS
• Matthew Rohlf, DDS
• Rolseth Drug Co (Wyoming Drug)
• Paul Christian Rondestvedt, MD
• Kevin Ronneberg, MD
• Suzanne S Rusk, PNP
• Cheryl Ann Rutt, RD
• Heidi Lynn Ruzek, CRNA

• Community/Retail Pharmacy in Wyoming, MN
• Providers in Wyoming, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.