NPIMap

Organization Active NPI

McBe Company

Doing business as Weber & Judd - Pine Island

  • Community/Retail Pharmacy
  • Pine Island, MN
National Provider Identifier
1871645879
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260813 Issued in MN
Legal business name
MCBE COMPANY
Doing business as
Weber & Judd - Pine Island
Practice address
111 Cty Road 11
Pine Island, MN 55963-9756
Phone
(507) 356-8343
Fax
(507) 356-4334
NPI assigned
Jan 18, 2007
Last updated
Jun 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Wade Hanson
Title
Manager
Phone
(507) 289-1666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 260813 MN Primary

Addresses

Primary practice location

111 Cty Road 11
Pine Island, MN 55963-9756

Mailing address

PO Box 5877
Rochester, MN 55903-5877

Other identifiers 3

IdentifierTypeStateIssuer
307360200MedicaidMN
1871645879MedicaidMN
2419679OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Weber & Judd - Pine Island Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McBe Company7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1871645879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5877",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559035877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CTY ROAD 11",
            "city": "PINE ISLAND",
            "state": "MN",
            "postal_code": "559639756",
            "telephone_number": "507-356-8343",
            "fax_number": "507-356-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCBE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "507-289-1666"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307360200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871645879",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2419679",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Weber & Judd - Pine Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Island, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.