Ivanhoe Family Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262925 Issued in MN

Legal business name

IVANHOE FAMILY PHARMACY, INC

Doing business as

Ivanhoe Family Pharmcy

Practice address

366 E George St
Suite 1
Ivanhoe, MN 56142-9707

Phone

(507) 694-1166

Fax

(507) 694-1167

NPI assigned

Dec 27, 2006

Last updated

Jan 11, 2019By 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

Andrea Ellen Rost, PHARM. D.

Title

Pharmacist Owner

Phone

(507) 694-1166

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ivanhoe Family Pharmcy Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1881750859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 E GEORGE ST",
            "address_2": "SUITE 1",
            "city": "IVANHOE",
            "state": "MN",
            "postal_code": "561429707",
            "telephone_number": "507-694-1166",
            "fax_number": "507-694-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 E GEORGE ST",
            "address_2": "SUITE 1",
            "city": "IVANHOE",
            "state": "MN",
            "postal_code": "561429707",
            "telephone_number": "507-694-1166",
            "fax_number": "507-694-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANHOE FAMILY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "ROST",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "507-694-1166",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262925",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716150000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivanhoe Family Pharmcy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ivanhoe Family Pharmcy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Ann Helmberger, D,C.
• Hendricks Community Hospital Assn & Retirement Home (Ivanhoe Medical Center)
• Andrea Hofmeyer-Lustfield
• Ind School Dist 403
• Ivanhoe Clinic
• Ivanhoe Medical Center (Hendricks Clinic, P.A.)
• Lincoln County Heartland Express
• Maris Company, LLC (Maris Hearing Center, LLC)
• Richard Dean Mulder, MD

• Community/Retail Pharmacy in Ivanhoe, MN
• Providers in Ivanhoe, 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 Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.