Seip Drug LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263074 Issued in MN

Legal business name

SEIP DRUG LLC

Practice address

801 Center Ave
Moorhead, MN 56560-1916

Phone

(218) 233-1529

Fax

(218) 233-8917

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Nathan Seip

Title

Chief Mang

Phone

(218) 640-2722

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MOORHEAD DRUG COMPANY Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Seip Drug LLC

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1093923914

  7113122615

  Same PAC ID
• Seip Drug LLC

  • Community/Retail Pharmacy
  • Park Rapids, MN
  • NPI 1104068014

  7113122615

  Same PAC ID
• Seip Drug LLC

  • Community/Retail Pharmacy
  • New York Mills, MN
  • NPI 1184752388

  7113122615

  Same PAC ID
• Seip Drug LLC

  • Community/Retail Pharmacy
  • Frazee, MN
  • NPI 1245368448

  7113122615

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyvia Marie Moser, PHARMD

  • Pharmacist
  • Moorhead, MN
  • NPI 1538988985
  NPD

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1760675755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 CENTER AVE",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601916",
            "telephone_number": "218-233-1529",
            "fax_number": "218-233-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 CENTER AVE",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565601916",
            "telephone_number": "218-233-1529",
            "fax_number": "218-233-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIP DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "SEIP",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CHIEF MANG",
        "authorized_official_telephone_number": "218-640-2722"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263074",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "636930000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2049250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOORHEAD DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOORHEAD DRUG COMPANY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Schroeder, FNP-C
• Alyssa Schultz
• Haley E Schumer
• Whitney Faye Schuttloffel
• Andrea Lynn Scott, ATC
• Alexis Serr
• Desirae Shanahan-Silva
• Bindu Shannon
• Alaina Shelstad
• La'Teasha Shelton

• All providers in Moorhead, MN
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.