Robert Washburn and Eva Washburn

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROBERT WASHBURN AND EVA WASHBURN

Doing business as

Medicine Shoppe

Practice address

244 Central Ave
Long Prairie, MN 56347-1303

Phone

(320) 732-3228

Fax

(320) 732-3228

NPI assigned

Nov 15, 2006

Last updated

Mar 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Washburn, RPH

Title

Owner

Phone

(320) 732-3228

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MEDICINE SHOPPE Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1750453544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 CENTRAL AVE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 CENTRAL AVE",
            "city": "LONG PRAIRIE",
            "state": "MN",
            "postal_code": "563471303",
            "telephone_number": "320-732-3228",
            "fax_number": "320-732-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WASHBURN AND EVA WASHBURN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "WASHBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-732-3228",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "2002925",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2405923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Long Prairie, MN
• Providers in Long Prairie, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.