Express Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

261562 Issued in MN

Legal business name

EXPRESS PHARMACY INC

Practice address

995 University Ave W
Ste 108
Saint Paul, MN 55104-4796

Phone

(651) 644-7566

Fax

(651) 644-7572

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Chao Yang, PHARMD

Title

Owner President Pic

Phone

(651) 644-7566

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EXPRESS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1811050438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 UNIVERSITY AVE W",
            "address_2": "STE 108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044796",
            "telephone_number": "651-644-7566",
            "fax_number": "651-644-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 UNIVERSITY AVE W",
            "address_2": "STE 108",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044796",
            "telephone_number": "651-644-7566",
            "fax_number": "651-644-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "CHAO",
        "authorized_official_title_or_position": "OWNER PRESIDENT PIC",
        "authorized_official_telephone_number": "651-644-7566",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "261562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "861219600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EXPRESS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Saint Paul, MN
• Providers in Saint Paul, 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 Jul 31, 2013; 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.