Loled Acoustic Tours, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

260692-3 Issued in MN

Legal business name

LOLED ACOUSTIC TOURS, INC.

Practice address

370 S Main St
Zumbrota, MN 55992-1544

Phone

(507) 732-5311

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael S Brengman, R.PH

Title

President

Phone

(507) 732-5311

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• ZUMBROTA MAIN STREET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1649286238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 S MAIN ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921544",
            "telephone_number": "507-732-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S MAIN ST",
            "city": "ZUMBROTA",
            "state": "MN",
            "postal_code": "559921544",
            "telephone_number": "507-732-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLED ACOUSTIC TOURS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "BRENGMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-732-5311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260692-3",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "260692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587760100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZUMBROTA MAIN STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Langeson Kish, OD
• Eugene Michael Kliber, PA-C
• James Allen Kurth, RPH
• Dat Minh Le, DDS
• Loled Acoustic Tours, Inc.
• Lotus Mental Health and Recovery, LLC
• McBe Company
• Modern Dental Professionals, MN PC
• Melinda Marie Nelson, PTA
• Ashley Marie Nilssen

• Community/Retail Pharmacy in Zumbrota, MN
• Providers in Zumbrota, 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 22, 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.