Active NPI
St Croix Drug Company
- Oxygen Equipment & Supplies (DME)
- St Louis Park, MN
National Provider Identifier
1922245398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 8783612
- Legal business name
- ST CROIX DRUG COMPANY
- Practice address
- 4820 Park Glen Rd
St Louis Park, MN 55416-5702 - Phone
- (952) 920-0460
- Fax
- (952) 920-0480
- NPI assigned
- Jan 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis M Sheehy
- Title
- President / Owner
- Phone
- (952) 920-0460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 8783612 | MN | Primary |
Addresses
Primary practice location
4820 Park Glen Rd
St Louis Park, MN 55416-5702
Mailing address
4820 Park Glen Rd
St Louis Park, MN 55416-5702
Phone (952) 920-0460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82-00474 | Other | MN | MEDICA |
National Provider Directory
National Provider Directory- Tax ID family
- St Croix Drug Company
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Stillwater, MN
- NPI 1548372543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231286400000",
"number": "1922245398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 PARK GLEN RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165702",
"telephone_number": "952-920-0460",
"fax_number": "952-920-0480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 PARK GLEN RD",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554165702",
"telephone_number": "952-920-0460",
"fax_number": "952-920-0480"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST CROIX DRUG COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A",
"authorized_official_last_name": "SHEEHY",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT / OWNER",
"authorized_official_telephone_number": "952-920-0460"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MN",
"license": "8783612",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "82-00474",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.