Organization Active NPI

Liebe Drug Inc

  • Pharmacy
  • Appleton, MN
National Provider Identifier
1619976495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
2613589 Issued in MN
Legal business name
LIEBE DRUG INC
Practice address
145 N Miles St
Appleton, MN 56208-1316
Phone
(320) 289-2593
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Michael Pfaff, RPH
Title
Pharmacist/Manager
Phone
(320) 289-2593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 2613589 MN Primary

Addresses

Primary practice location

145 N Miles St
Appleton, MN 56208-1316

Mailing address

145 N Miles St
Appleton, MN 56208-1316
Phone (320) 289-2593

Other identifiers 1

IdentifierTypeStateIssuer
2411560OtherNABP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619976495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N MILES ST",
            "city": "APPLETON",
            "state": "MN",
            "postal_code": "562081316",
            "telephone_number": "320-289-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N MILES ST",
            "city": "APPLETON",
            "state": "MN",
            "postal_code": "562081316",
            "telephone_number": "320-289-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PFAFF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST/MANAGER",
        "authorized_official_telephone_number": "320-289-2593",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2613589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2411560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.