NPIMap

Organization Active NPI

Falks Woodland Pharmacy Inc

Doing business as Falks Kenwood Pharmacy

  • Community/Retail Pharmacy
  • Duluth, MN
National Provider Identifier
1780668137
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260867 Issued in MN
Legal business name
FALKS WOODLAND PHARMACY INC
Doing business as
Falks Kenwood Pharmacy
Practice address
1352 W Arrowhead Rd
Duluth, MN 55811-2218
Phone
(218) 724-8825
Fax
(218) 724-1370
NPI assigned
Nov 30, 2005
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Steven Preston, RPH
Title
Owner
Phone
(218) 525-9850

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 260867 MN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

1352 W Arrowhead Rd
Duluth, MN 55811-2218

Mailing address

1 E Calvary Rd
Duluth, MN 55803-1514
Phone (218) 740-4562

Other identifiers 2

IdentifierTypeStateIssuer
925760800MedicaidMN
2404515OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • FALKS KENWOOD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1352 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 724-8825

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1780668137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CALVARY RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558031514",
            "telephone_number": "218-740-4562",
            "fax_number": "218-728-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "218-724-8825",
            "fax_number": "218-724-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALKS WOODLAND PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-525-9850",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260867",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "925760800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2404515",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FALKS KENWOOD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.