SPPS LLC L L C

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

265170 Issued in MN

Legal business name

SPPS LLC L L C

Practice address

621 Marie Ave
South Saint Paul, MN 55075-2039

Phone

(651) 457-2725

Fax

(651) 457-2734

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Sharon Vanhulle

Title

Administrative Assistant

Phone

(920) 834-4455

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ProRX Pharmacy Doing business as

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1750833653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MARIE AVE",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550752039",
            "telephone_number": "651-457-2725",
            "fax_number": "651-457-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MARIE AVE",
            "city": "SOUTH SAINT PAUL",
            "state": "MN",
            "postal_code": "550752039",
            "telephone_number": "651-457-2725",
            "fax_number": "651-457-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPPS LLC L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "VANHULLE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "920-834-4455"
    },
    "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": "265170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165854",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750833653",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProRX Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Rowlison, LICENSED MARRIAGE
• Kristi Shewchuk, CRNA
• Snyders Drug
• South St Paul Animal Hospital
• Marty Michael Spanish, DDS
• Sun Medical Interpreting LLC
• Lisa Michele Suter, RN
• Miranda Tapp
• Theresas Home LLC
• Rebecca Rose Thompson

• All providers in South Saint Paul, MN
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.