Storchak Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263333 Issued in MN

Legal business name

STORCHAK PHARMACY, LLC

Doing business as

PharmaLife Minnesota

Practice address

1200 Nicollet Mall
MPLS, MN 55403

Phone

(612) 354-3400

Fax

(612) 677-3330

NPI assigned

Feb 20, 2009

Last updated

Sep 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry David Zoss, RPH.

Title

Pharmacist in Charge

Phone

(612) 354-3400

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PharmaLife Minnesota Doing business as

Locations

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1871733501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NICOLLET MALL",
            "city": "MPLS.",
            "state": "MN",
            "postal_code": "55403",
            "telephone_number": "612-354-3400",
            "fax_number": "612-677-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NICOLLET MALL",
            "city": "MPLS",
            "state": "MN",
            "postal_code": "55403",
            "telephone_number": "612-354-3400",
            "fax_number": "612-677-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORCHAK PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "ZOSS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "612-354-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263333",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "263333",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MN",
            "license": "263333",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTTA PHARMACY LICENSE",
            "identifier": "263333",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharmaLife Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in MPLS, MN
• Providers in MPLS, 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 Sep 19, 2013; 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.