White Bear Health Mart Pharmacy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WHITE BEAR HEALTH MART PHARMACY LLC

Doing business as

White Bear Health Mart

Practice address

2008 County Road E E
White Bear Lake, MN 55110-7333

Phone

(651) 289-4300

Fax

(651) 289-4301

NPI assigned

Jan 21, 2011

Last updated

May 7, 2011By 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

Dr. Joseph Norman Jorgenson, PHARM.D.NPI 1861645426

Title

Pharmacist in Charge

Phone

(651) 289-4300

Specialties & licenses 1

Addresses

Other names 1

• White Bear Health Mart Doing business as

Locations

Practitioners 1

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.

• Joseph Norman Jorgenson, PHARM. D.

  • Pharmacist
  • White Bear Lake, MN
  • NPI 1861645426
  NPD (past) Authorized official

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304726400000",
    "number": "1639474612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107333",
            "telephone_number": "651-289-4300",
            "fax_number": "651-289-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 COUNTY ROAD E E",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107333",
            "telephone_number": "651-289-4300",
            "fax_number": "651-289-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BEAR HEALTH MART PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-05-07",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "651-289-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Bear Health Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2011; 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.