NPIMap

Organization Active NPI

Astrup Drug Inc

  • Community/Retail Pharmacy
  • Worthington, MN
National Provider Identifier
1740385178
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264425 Issued in MN
Legal business name
ASTRUP DRUG INC
Practice address
511 10TH St
Worthington, MN 56187-2342
Phone
(507) 372-7533
Fax
(507) 372-7525
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
David Brooks
Title
District Pharmacy Manager
Phone
(612) 618-6340

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 264425 MN Primary

Addresses

Primary practice location

511 10TH St
Worthington, MN 56187-2342

Mailing address

905 N Main St
Box 658
Austin, MN 55912-3357
Phone (507) 434-7428

Other identifiers 2

IdentifierTypeStateIssuer
1740385178MedicaidMN
2046084OtherPK

Other names 1

  • STERLING DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061018000102 MN Part B Supplier - Mass Immunization (Roster Biller Only) 7810993623 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Worthington, MN; Austin, MN; Spring Grove, MN; Rushford, MN; Owatonna, MN; Northfield, MN; Mendota Heights, MN; Le Sueur, MN…
O20100930089912 MN DME Supplier - Pharmacy 7810993623 Practice locations: Worthington, MN

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Sterling LTC Pharmacy40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1740385178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N MAIN ST",
            "address_2": "BOX 658",
            "city": "AUSTIN",
            "state": "MN",
            "postal_code": "559123357",
            "telephone_number": "507-434-7428",
            "fax_number": "507-433-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 10TH ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872342",
            "telephone_number": "507-372-7533",
            "fax_number": "507-372-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTRUP DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DISTRICT PHARMACY MANAGER",
        "authorized_official_telephone_number": "612-618-6340"
    },
    "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": "264425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740385178",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046084",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STERLING DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.