NPIMap

Organization Active NPI

Black Forest Pharmacy Services LTD

  • Long Term Care Pharmacy
  • Brainerd, MN
National Provider Identifier
1861636268
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
263366 Issued in MN
Legal business name
BLACK FOREST PHARMACY SERVICES LTD
Practice address
108 S 6TH St Ste a
Brainerd, MN 56401-3575
Phone
(218) 829-3476
Fax
(218) 829-0575
NPI assigned
Apr 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Authorized official

Name
Michael Schwartzwald
Title
President
Phone
(218) 829-0347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 263366 MN Primary

Addresses

Primary practice location

108 S 6TH St Ste a
Brainerd, MN 56401-3575

Mailing address

108 S 6TH St Ste a
Brainerd, MN 56401-3575
Phone (218) 829-3476

Other identifiers 1

IdentifierTypeStateIssuer
2429620OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • GUIDEPOINT LTC PHARMACY #201 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Black Forest Pharmacy Services LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

108 S 6th St
Ste A
Brainerd, MN 56401
Phone (218) 829-3476

NPI Registry JSON

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1861636268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST STE A",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-829-3476",
            "fax_number": "218-829-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S 6TH ST STE A",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013575",
            "telephone_number": "218-829-3476",
            "fax_number": "218-829-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK FOREST PHARMACY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZWALD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-0347"
    },
    "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": "263366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2429620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GUIDEPOINT LTC PHARMACY #201",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.