NPIMap

Organization Active NPI

Centracare Health System-NR LLC

  • Long Term Care Pharmacy
  • Monticello, MN
National Provider Identifier
1831256320
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
264079 Issued in MN
Legal business name
CENTRACARE HEALTH SYSTEM-NR LLC
Practice address
1013 Hart Blvd
Monticello, MN 55362-8575
Phone
(763) 271-2251
Fax
(763) 271-2346
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Rebecca Lechner
Title
Pharmacy Technician
Phone
(763) 271-2251

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 264079 MN Primary

Addresses

Primary practice location

1013 Hart Blvd
Monticello, MN 55362-8575

Mailing address

1013 Hart Blvd
Monticello, MN 55362-8575
Phone (763) 271-2251

Other identifiers 1

IdentifierTypeStateIssuer
2145661OtherPK

Other names 1

  • CentraCare Health - Monticello Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centracare Health - Monticello3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1831256320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 HART BLVD",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628575",
            "telephone_number": "763-271-2251",
            "fax_number": "763-271-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 HART BLVD",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628575",
            "telephone_number": "763-271-2251",
            "fax_number": "763-271-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRACARE HEALTH SYSTEM-NR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "LECHNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PHARMACY TECHNICIAN",
        "authorized_official_telephone_number": "763-271-2251"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "264079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145661",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraCare Health - Monticello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; 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.