LTC Prescription Providers Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

LTC PRESCRIPTION PROVIDERS INC

Doing business as

LTC Prescription Providers Inc

Practice address

220 3Rd Ave
Proctor, MN 55810-1617

Phone

(218) 628-9368

Fax

(218) 628-9370

NPI assigned

Nov 7, 2006

Last updated

Feb 24, 2026By 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

Philip Hommerding

Title

Owner

Phone

(218) 628-9368

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• LTC PRESCRIPTION PROVIDERS INC Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas R White, PHARMACIST

  • Pharmacist
  • Proctor, MN
  • NPI 1598339863
  NPD
• Brian Cox

  • Pharmacist
  • Proctor, MN
  • NPI 1114685856
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1962571810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 3RD AVE",
            "city": "PROCTOR",
            "state": "MN",
            "postal_code": "558101617",
            "telephone_number": "218-628-9368",
            "fax_number": "218-628-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 3RD AVE",
            "city": "PROCTOR",
            "state": "MN",
            "postal_code": "558101617",
            "telephone_number": "218-628-9368",
            "fax_number": "218-628-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC PRESCRIPTION PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "HOMMERDING",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-628-9368"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048066",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962571810",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTAPHARMACYLICENSE",
            "identifier": "266588",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LTC PRESCRIPTION PROVIDERS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abigail Lynn Haugen
• Thomas James Heinitz, M.D.
• Theresa Mae Krajewski, RN
• Jessica Ann Linsten, RN, CNP
• LTC Prescription Providers #2
• Lynn Taylor Maclean, M.D.
• Kellie Christine Margarit, APRN, CNP
• Andrea McKay
• Neko's Classic Transportation, LLC
• Northland Afc,Inc

• Community/Retail Pharmacy in Proctor, MN
• Providers in Proctor, 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 Feb 24, 2026; 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.