Active NPI
Skelton Drug Inc
- Community/Retail Pharmacy
- North Branch, MN
National Provider Identifier
1710030978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.