Active NPI
Rix Pharmacy PA
- Community/Retail Pharmacy
- Alexandria, MN
National Provider Identifier
1669544458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 262092
- Legal business name
- RIX PHARMACY PA
- Doing business as
- RIX PHARMACY
- Practice address
- 1525 Broadway St
Suite 100
Alexandria, MN 56308-3007 - Phone
- (320) 763-3146
- Fax
- (320) 763-7231
- NPI assigned
- Nov 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Petty, RPH
- Title
- Owner
- Phone
- (320) 760-8471
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 262092 | MN | Primary |
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1525 Broadway St
Suite 100
Alexandria, MN 56308-3007
Mailing address
PO Box 295
Alexandria, MN 56308-0295
Phone (320) 763-3146
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 694757300 | Medicaid | MN | |
| 2412788 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- RIX PHARMACY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1669544458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 295",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563080295",
"telephone_number": "320-763-3146",
"fax_number": "320-763-7231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 BROADWAY ST",
"address_2": "SUITE 100",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083007",
"telephone_number": "320-763-3146",
"fax_number": "320-763-7231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIX PHARMACY PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "PETTY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "320-760-8471",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "262092",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "694757300",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2412788",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RIX PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.