Lab Drugs & Medical -Trans-Supplies LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263458 Issued in MN

Legal business name

LAB DRUGS & MEDICAL -TRANS-SUPPLIES LLC

Doing business as

Polar Pharmacy & Medical Supplies

Practice address

8561 Edinburgh Center Dr
Brooklyn Park, MN 55443-3724

Phone

(763) 777-5995

Fax

(763) 777-5974

NPI assigned

Jan 6, 2010

Last updated

Jun 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lola Ishola

Title

Owner/Pharmacist-in-Charge

Phone

(763) 777-5995

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Polar Pharmacy & Medical Supplies Doing business as

Member organizations 1

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

• Lab Drugs & Medical-Trans-Supplies LLC

  dba Polar Pharmacy & Medical Supplies

  • Community/Retail Pharmacy
  • Saint Paul, MN
  • NPI 1417295403

  Member Of

  NPD member

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1801126214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8561 EDINBURGH CENTER DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433724",
            "telephone_number": "763-777-5995",
            "fax_number": "763-777-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8561 EDINBURGH CENTER DR",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433724",
            "telephone_number": "763-777-5995",
            "fax_number": "763-777-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB DRUGS & MEDICAL -TRANS-SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "ISHOLA",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "OWNER/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "763-777-5995"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "263458",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS IMMUIZATION PTAN",
            "identifier": "730000092",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2429959",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801126214",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "263458",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polar Pharmacy & Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Marie Krippner
• Atul Kumar, PHARMACIST
• Samuel Kuo
• David Paul L'Allier
• Stephanie Joy Laager, PHARM. D.
• Colleen Marie Lacey, LMFT
• Ashley Lacher
• Lachinski Chiropractic, P.a.
• Jeremy Wellington Lachinski, D.C.
• Jane M. Laco, M.D.

• Community/Retail Pharmacy in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.