Organization Active NPI

Skelton Drug Inc

  • Community/Retail Pharmacy
  • North Branch, MN
National Provider Identifier
1710030978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SKELTON DRUG INC
Practice address
6344 Main St
North Branch, MN 55056-6693
Phone
(651) 674-4454
Fax
(651) 674-2082
NPI assigned
Jan 19, 2007
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. Joel Leon Skelton, RPH
Title
Pharmacist Owner
Phone
(651) 674-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

6344 Main St
North Branch, MN 55056-6693

Mailing address

6344 Main St
P.O. Box 386
North Branch, MN 55056-6693
Phone (651) 674-4454

National Provider Directory

National Provider Directory

Locations

6344 Main St
North Branch, MN 55056
Phone (651) 674-4454

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710030978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6344 MAIN ST",
            "address_2": "P.O. BOX 386",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566693",
            "telephone_number": "651-674-4454",
            "fax_number": "651-674-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6344 MAIN ST",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566693",
            "telephone_number": "651-674-4454",
            "fax_number": "651-674-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKELTON DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKELTON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "651-674-4454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, 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.