Active NPI
Cuyuna Lakes Pharmacy LLC
- Community/Retail Pharmacy
- Crosby, MN
National Provider Identifier
1750003653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CUYUNA LAKES PHARMACY LLC
- Practice address
- 22418 State Hwy 6
Suite 400
Crosby, MN 56441-1645 - Phone
- (218) 545-5360
- Fax
- (218) 381-0020
- NPI assigned
- Sep 16, 2022
- Organization subpart
- Yes
- Parent organization
- CUYUNA LAKES PHARMACY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Louise Hart
- Title
- Ceo
- Phone
- (218) 546-2300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
22418 State Hwy 6
Suite 400
Crosby, MN 56441-1645
Mailing address
320 E Main St
Crosby, MN 56441-1645
Phone (218) 546-2345
National Provider Directory
National Provider Directory- Part of
- Cuyuna Lakes Pharmacy LLC
Locations
22418 State Highway 6
Ste 400
Crosby, MN 56441
Phone (218) 545-5360
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinic Pharmacy
- Crosby, MN
- NPI 1932327152
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Crosby, MN
- NPI 1295331353
-
- Pharmacist
- Cook, MN
- NPI 1790349454
-
- Pharmacist
- Crosby, MN
- NPI 1679117519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1750003653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E MAIN ST",
"city": "CROSBY",
"state": "MN",
"postal_code": "564411645",
"telephone_number": "218-546-2345",
"fax_number": "218-546-4330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22418 STATE HWY 6",
"address_2": "SUITE 400",
"city": "CROSBY",
"state": "MN",
"postal_code": "564411645",
"telephone_number": "218-545-5360",
"fax_number": "218-381-0020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUYUNA LAKES PHARMACY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CUYUNA LAKES PHARMACY LLC",
"enumeration_date": "2022-09-16",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "218-546-2300"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crosby, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.