Organization Active NPI

Pro Pharmacy II Inc

  • Pharmacy
  • South St Paul, MN
National Provider Identifier
1750378386
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
261946-0 Issued in MN
Legal business name
PRO PHARMACY II INC
Practice address
102 5TH Ave S
South St Paul, MN 55075-2332
Phone
(651) 455-4140
Fax
(651) 455-4275
NPI assigned
Sep 29, 2005
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. Greg J Schouweiler, RPH
Title
Pharmacist in Charge
Phone
(651) 455-4140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 261946-0 MN Primary

Addresses

Primary practice location

102 5TH Ave S
South St Paul, MN 55075-2332

Mailing address

102 5TH Ave S
South St Paul, MN 55075-2332
Phone (651) 455-4140

Other identifiers 1

IdentifierTypeStateIssuer
2402105OtherNABP #

National Provider Directory

National Provider Directory

Locations

102 5th Ave S
South St Paul, MN 55075
Phone (651) 455-4140

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1750378386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 5TH AVE S",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550752332",
            "telephone_number": "651-455-4140",
            "fax_number": "651-455-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 5TH AVE S",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550752332",
            "telephone_number": "651-455-4140",
            "fax_number": "651-455-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO PHARMACY II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SCHOUWEILER",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "651-455-4140",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "261946-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "2402105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.