Active NPI
Arensons Annandale Pharmacy Inc
Doing business as Arenson Healthmart Pharmacy
- Community/Retail Pharmacy
- Annandale, MN
National Provider Identifier
1851464531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2609519
- Legal business name
- ARENSONS ANNANDALE PHARMACY INC
- Doing business as
- Arenson Healthmart Pharmacy
- Practice address
- 43 Oak Ave N
Annandale, MN 55302-0309 - Phone
- (320) 274-5415
- Fax
- (866) 478-8774
- NPI assigned
- Nov 17, 2006
- Last updated
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Craig William Bechtold, RPH
- Title
- Pharmicist in Charge
- Phone
- (320) 274-5415
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0179610001 | NU | |
| Community/Retail Pharmacy | 3336C0003X | 2609519 | MN | Primary |
Addresses
Primary practice location
43 Oak Ave N
Annandale, MN 55302-0309
Mailing address
43 Oak Ave N
P.O. Box 309
Annandale, MN 55302-1199
Phone (320) 274-5415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2403359 | Other | NABP | |
| 201258800 | Medicaid | MN |
Other names 1
- Arenson Healthmart Pharmacy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1851464531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 OAK AVE N",
"address_2": "P.O. BOX 309",
"city": "ANNANDALE",
"state": "MN",
"postal_code": "553021199",
"telephone_number": "320-274-5415",
"fax_number": "866-478-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 OAK AVE N",
"city": "ANNANDALE",
"state": "MN",
"postal_code": "553020309",
"telephone_number": "320-274-5415",
"fax_number": "866-478-8774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARENSONS ANNANDALE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BECHTOLD",
"authorized_official_first_name": "CRAIG",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "PHARMICIST IN CHARGE",
"authorized_official_telephone_number": "320-274-5415",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": "0179610001",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "2609519",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2403359",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201258800",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arenson Healthmart Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Annandale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.