Jay Michael Norberg

Primary specialty

PharmacistTaxonomy code 183500000X

License

115498 Issued in MN

Practice address

101 W Main St
Pipestone, MN 56164-1651

Phone

(507) 825-3100

Fax

(507) 825-5810

NPI assigned

Jan 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A & S Drugs LLC

  dba A and S Drugs

  • Community/Retail Pharmacy
  • Pipestone, MN
  • NPI 1366765539
  NPD Authorized official
• A & S Drugs LLC

  dba A and S Drugs

  • Long Term Care Pharmacy
  • Pipestone, MN
  • NPI 1790278315
  NPD Authorized official
• HHP LLC

  dba Hartley Hometown Pharmacy

  • Community/Retail Pharmacy
  • Hartley, IA
  • NPI 1730517855
  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1710577937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-825-3100",
            "fax_number": "507-825-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641651",
            "telephone_number": "507-825-3100",
            "fax_number": "507-825-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 3rd St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Hartley",
            "state": "IA",
            "postal_code": "513461132",
            "country_code": "US",
            "telephone_number": "712-928-7070",
            "fax_number": "712-928-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORBERG",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-03-31",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "17726",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710577937",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pipestone",
            "affiliation": "N",
            "address_1": "101 W Main St",
            "city": "Pipestone",
            "state": "MN",
            "country_code": "US",
            "postal_code": "561641651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Lynne Miller, DC
• Sueky Marie Moeller, DNP, FNP-C
• Taylor Caitlin Moore, COMMUNITY HEALTH WOR
• Arna Keturah Mora, MD
• Mark T. Morgan, D.D.S.
• Tanya Beth O'Leary
• William Howard Olson, DDS
• Yvonne Seger Oppold, M.D.
• Alicia Michele Patterson
• Paul a. Henriksen

• Pharmacist in Pipestone, MN
• Providers in Pipestone, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.