Rushford Drug Company

Primary specialty

PharmacistTaxonomy code 183500000X

License

114628-0 Issued in MN

Legal business name

RUSHFORD DRUG COMPANY

Doing business as

Witt's Pharmacy - Caledonia

Practice address

615 Esch Dr
Caledonia, MN 55921-1274

Phone

(507) 725-3328

Fax

(507) 725-3466

NPI assigned

Nov 3, 2006

Last updated

Feb 24, 2011By 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. Thomas E Witt, R.PH.

Title

Pres., Ceo

Phone

(507) 864-3238

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Witt's Pharmacy - Caledonia Doing business as

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1972682771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ESCH DR",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211274",
            "telephone_number": "507-725-3328",
            "fax_number": "507-725-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ESCH DR",
            "city": "CALEDONIA",
            "state": "MN",
            "postal_code": "559211274",
            "telephone_number": "507-725-3328",
            "fax_number": "507-725-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHFORD DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRES., CEO",
        "authorized_official_telephone_number": "507-864-3238",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114628-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2403981",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238609700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Witt's Pharmacy - Caledonia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arvid Nielsen, RPH
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• Julie Ellen O'Mara Meyer, L.P.
• Redeem Counseling (Gary Paul Fox DBA Redeem Counseling)
• Michelle L Rein, MD
• Joannie Schmidt, RN
• Milton Joseph Schoeberl, DC
• Gloria Evelan Schroeder
• Senior Management Inc. (Caledonia Care & Rehab)
• Scott Alan Siegersma, MS, LPC ,NCC

• Pharmacist in Caledonia, MN
• Providers in Caledonia, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.