Individual provider Active NPI

Lori Jean Passe, PHARM D

  • Pharmacist
  • Wabasha, MN
National Provider Identifier
1972789279
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118772 Issued in MN
Practice address
160 Main St W
Wabasha, MN 55981-1237
Phone
(651) 560-4355
NPI assigned
Jan 16, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118772 MN Primary

Addresses

Primary practice location

160 Main St W
Wabasha, MN 55981-1237

Mailing address

160 Main Street West
Wabasha, MN 55981
Phone (651) 560-4355

Other practice location 1

408 W Main St
Kasson, MN 55944-1142
Phone (507) 634-3341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
118772MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LC Edelbach Company LLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

160 Main St W
Wabasha, MN 55981
Phone (651) 560-4355

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972789279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MAIN STREET WEST",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "55981",
            "telephone_number": "651-560-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MAIN ST W",
            "city": "WABASHA",
            "state": "MN",
            "postal_code": "559811237",
            "telephone_number": "651-560-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kasson",
            "state": "MN",
            "postal_code": "559441142",
            "country_code": "US",
            "telephone_number": "507-634-3341",
            "fax_number": "507-634-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSE",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabasha, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.