NPIMap

Organization Active NPI

Rolseth Drug Co

  • Long Term Care Pharmacy
  • Forest Lake, MN
National Provider Identifier
1750904140
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROLSETH DRUG CO
Practice address
107 Lake St N
Forest Lake, MN 55025-2504
Phone
(651) 464-2114
Fax
(651) 464-2041
NPI assigned
May 20, 2020
Last updated
May 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Thomas Haas III, PHARM DNPI 1841819786
Title
Pharmacist
Phone
(651) 464-2114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

107 Lake St N
Forest Lake, MN 55025-2504

Mailing address

107 Lake St N
Forest Lake, MN 55025-2504
Phone (651) 464-2114

National Provider Directory

National Provider Directory
Tax ID family
Rolseth Drugs6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1589932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1750904140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LAKE ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252504",
            "telephone_number": "651-464-2114",
            "fax_number": "651-464-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 LAKE ST N",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252504",
            "telephone_number": "651-464-2114",
            "fax_number": "651-464-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLSETH DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "651-464-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; 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.