Organization Active NPI

St Croix Drug Company

  • Oxygen Equipment & Supplies (DME)
  • St Louis Park, MN
National Provider Identifier
1922245398
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
8783612 Issued in MN
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

Updated by the provider on Jan 7, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
82-00474OtherMNMEDICA

National Provider Directory

National Provider Directory
Tax ID family
St Croix Drug Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.