NPIMap

Organization Active NPI

John's RX Drug, Inc

Doing business as John's Rx Drug

  • Community/Retail Pharmacy
  • Tracy, MN
National Provider Identifier
1861679771
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
201215 Issued in MN
Legal business name
JOHN'S RX DRUG, INC
Doing business as
John's Rx Drug
Practice address
131 3Rd St
Tracy, MN 56175-1211
Phone
(507) 629-3801
Fax
(507) 629-4694
NPI assigned
Jan 23, 2008
Last updated
Mar 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Authorized official

Name
Maria C. Schleppenbach-Grogan, PHARM.D.NPI 1295327690
Title
Co-Owner
Phone
(507) 629-3801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 201215 MN Primary

Addresses

Primary practice location

131 3Rd St
Tracy, MN 56175-1211

Mailing address

131 3Rd St
Tracy, MN 56175-1211
Phone (507) 629-3801

Other identifiers 1

IdentifierTypeStateIssuer
401360300MedicaidMN

Other names 1

  • John's Rx Drug Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1861679771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 3RD ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751211",
            "telephone_number": "507-629-3801",
            "fax_number": "507-629-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 3RD ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751211",
            "telephone_number": "507-629-3801",
            "fax_number": "507-629-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN'S RX DRUG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHLEPPENBACH-GROGAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "507-629-3801",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "201215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401360300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John's Rx Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tracy, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.