NPIMap

Organization Active NPI

Seip Drug LLC

Doing business as Seip Drug #10

  • Community/Retail Pharmacy
  • Bertha, MN
National Provider Identifier
1871503722
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263523 Issued in MN
Legal business name
SEIP DRUG LLC
Doing business as
Seip Drug #10
Practice address
124 2ND Ave West
Bertha, MN 56437
Phone
(218) 924-2124
Fax
(218) 924-2129
NPI assigned
Aug 9, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Nathan Seip
Title
Chief Manager
Phone
(218) 640-2722

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 263523 MN Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

124 2ND Ave West
Bertha, MN 56437

Mailing address

PO Box 157
Bertha, MN 56437-0157
Phone (218) 849-2124

Other identifiers 2

IdentifierTypeStateIssuer
1871503722MedicaidMN
2125113OtherPK

Other names 1

  • Seip Drug #10 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seip Drug LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

124 2nd Ave NW
Bertha, MN 56437
Phone (218) 924-2124

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1871503722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BERTHA",
            "state": "MN",
            "postal_code": "564370157",
            "telephone_number": "218-849-2124",
            "fax_number": "218-849-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 2ND AVE WEST",
            "city": "BERTHA",
            "state": "MN",
            "postal_code": "56437",
            "telephone_number": "218-924-2124",
            "fax_number": "218-924-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEIP DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "SEIP",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "218-640-2722"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263523",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871503722",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2125113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seip Drug #10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bertha, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.