Setzer Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SETZER PHARMACY INC

Practice address

1685 Rice St
Roseville, MN 55113-6899

Phone

(651) 488-0251

Fax

(651) 488-7517

NPI assigned

Jun 18, 2006

Organization subpart

Yes

Parent organization

SETZER PHARMACY INCAs reported in NPPES

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

Authorized official

Name

Mr. James Joseph Stage, PHARMDNPI 1780823799

Title

President

Phone

(651) 488-0251

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• NorthSpirit Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Tax ID family

Setzer Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Setzer Pharmacy Inc

Other organizations with this tax ID 1

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

• Setzer Pharmacy Inc

  • Community/Retail Pharmacy
  • Saint Paul, MN
  • NPI 1801461819
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Setzer Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Roseville, MN
  • NPI 1477670016
  NPPES parent name

Practitioners 1

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

• James Joseph Stage, PHARM. D.

  • Pharmacist
  • Rochester, MN
  • NPI 1780823799
  NPD Authorized official

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1861437402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 RICE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136899",
            "telephone_number": "651-488-0251",
            "fax_number": "651-488-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 RICE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136899",
            "telephone_number": "651-488-0251",
            "fax_number": "651-488-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETZER PHARMACY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SETZER PHARMACY INC",
        "enumeration_date": "2006-06-18",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "STAGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-488-0251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490757400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthSpirit Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthSpirit Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Seely, DMD
• Hanan Seman
• Heather Marie Semler
• Sereneaid Health Inc
• Setzer Pharmacy
• Angela Severson
• Grace E Shafer
• Nihar S Shah, M.D.
• Palak Shah, MD
• Adan Ibrahim Shalmad

• Community/Retail Pharmacy in Roseville, MN
• Providers in Roseville, 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 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.