NPIMap

Organization Active NPI

Firstsolutions

Doing business as Superior Health Pharmacy

  • Community/Retail Pharmacy
  • Two Harbors, MN
National Provider Identifier
1780600759
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
204933 Issued in MN
Legal business name
FIRSTSOLUTIONS
Doing business as
Superior Health Pharmacy
Practice address
1010 4TH St
Two Harbors, MN 55616-1200
Phone
(218) 834-7202
Fax
(218) 834-9531
NPI assigned
Jul 14, 2006
Last updated
Jan 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Authorized official

Name
Sandra Mastaw, MT BA, ICP
Title
Care Delivery Coordinator
Phone
(218) 740-2785

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X 204933 MN Primary
Managed Care Organization Pharmacy 3336M0003X

Addresses

Primary practice location

1010 4TH St
Two Harbors, MN 55616-1200

Mailing address

1010 4TH St
Two Harbors, MN 55616-1200
Phone (218) 834-7202

Other identifiers 2

IdentifierTypeStateIssuer
2412966OtherNCPDP PROVIDER IDENTIFICATION NUMBER
613226000MedicaidMN

Other names 1

  • SUPERIOR HEALTH PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2900 Piedmont Ave
Duluth, MN 55811
Phone (218) 727-8228

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1780600759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 4TH ST",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161200",
            "telephone_number": "218-834-7202",
            "fax_number": "218-834-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 4TH ST",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161200",
            "telephone_number": "218-834-7202",
            "fax_number": "218-834-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "MASTAW",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CARE DELIVERY COORDINATOR",
        "authorized_official_telephone_number": "218-740-2785",
        "authorized_official_credential": "MT BA, ICP"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "204933",
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2412966",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "613226000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUPERIOR HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Two Harbors, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.