Northside Community Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264120 Issued in MN

Legal business name

NORTHSIDE COMMUNITY PHARMACY

Practice address

1501 Lowry Ave N
Minneapolis, MN 55411-1260

Phone

(612) 345-7842

Fax

(612) 353-6458

NPI assigned

May 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Yang Xiong, PHARMD

Title

Pharmacist-in-Charge/Owner

Phone

(612) 345-7842

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1861839433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 LOWRY AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111260",
            "telephone_number": "612-345-7842",
            "fax_number": "612-353-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 LOWRY AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554111260",
            "telephone_number": "612-345-7842",
            "fax_number": "612-353-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE COMMUNITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "XIONG",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/OWNER",
        "authorized_official_telephone_number": "612-345-7842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northpoint Health & Wellness Center
• Peter Northrop
• Northside Center for Emotional Wellness LLC
• Northside Center for Emotional Wellness LLC
• Northside Chiropractic Clinic LTD
• Northside Life Care Center
• Northstar Armhs LLC
• Northstar Care Connections
• Northstar Health Initiative
• Northwest Anesthesia P.a.

• Community/Retail Pharmacy in Minneapolis, MN
• Providers in Minneapolis, 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 Aug 21, 2014; 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.