Zitnak Pharmacy

Key facts

NPI

1831203371

Entity type

Organization (NPI type 2)

Primary specialty

Community/Retail Pharmacy 3336C0003X

License

205091-9 (MN)

Legal business name

ZITNAK PHARMACY

Practice address

125 S Main St
Blue Earth, MN 56013-2008

Phone

(507) 526-3784

Fax

(507) 526-2699

NPI assigned

Aug 19, 2006

Organization subpart

No

Authorized official

Name

Dennis Gene Zitnak, RPH NPI 1235219601

Title

Owner

Phone

(507) 526-3784

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

• Dennis Gene Zitnak, R.PH. Pharmacist · Blue Earth, MN · NPI 1235219601
  NPD (past) Authorized official

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 19, 2007.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1831203371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132008",
            "telephone_number": "507-526-3784",
            "fax_number": "507-526-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "560132008",
            "telephone_number": "507-526-3784",
            "fax_number": "507-526-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZITNAK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "ZITNAK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-526-3784",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "205091-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2403739",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Earth, MN

• Brittany Waletzko Bartz, DO
• Elisha Elyse Webster, M.D.
• William M Welch
• Wells Chiropractic Clinic Inc
• Guontung Wong, M.D.
• Dennis Gene Zitnak, R.PH.

All providers in Blue Earth, MN · Community/Retail Pharmacy in Minnesota