Organization Active NPI

Our Family Pharmacy LLC

  • Pharmacy
  • Saint Paul, MN
National Provider Identifier
1639622947
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
265127 Issued in MN
Legal business name
OUR FAMILY PHARMACY LLC
Doing business as
Our Family Pharmacy LLC
Practice address
601 University Ave W
Saint Paul, MN 55103-1940
Phone
(651) 600-3988
Fax
(651) 788-9068
NPI assigned
Aug 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Trung Nguyen
Title
Owner
Phone
(651) 600-3988

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 265127 MN Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

601 University Ave W
Saint Paul, MN 55103-1940

Mailing address

601 University Ave W
Saint Paul, MN 55103-1940
Phone (651) 600-3988

Other identifiers 1

IdentifierTypeStateIssuer
2162426OtherPK

Other names 1

  • Our Family Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

601 University Ave W
Saint Paul, MN 55103
Phone (651) 600-3988

NPI Registry JSON

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1639622947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031940",
            "telephone_number": "651-600-3988",
            "fax_number": "651-788-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031940",
            "telephone_number": "651-600-3988",
            "fax_number": "651-788-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-600-3988"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "265127",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162426",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Family Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.