NPIMap

Organization Active NPI

Cokato Drug LLC

  • Community/Retail Pharmacy
  • Cokato, MN
National Provider Identifier
1982168142
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COKATO DRUG LLC
Practice address
205 Broadway Ave S
Cokato, MN 55321-4681
Phone
(320) 286-2380
Fax
(320) 286-2619
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Lori Willis
Title
Acquisitions Manager
Phone
(641) 366-3440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

205 Broadway Ave S
Cokato, MN 55321-4681

Mailing address

PO Box 640
Conrad, IA 50621-0640
Phone (320) 286-2380

Other names 1

  • Cokato Keaveny Drug Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nudak Ventures LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1982168142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CONRAD",
            "state": "IA",
            "postal_code": "506210640",
            "telephone_number": "320-286-2380",
            "fax_number": "320-286-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BROADWAY AVE S",
            "city": "COKATO",
            "state": "MN",
            "postal_code": "553214681",
            "telephone_number": "320-286-2380",
            "fax_number": "320-286-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKATO DRUG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACQUISITIONS MANAGER",
        "authorized_official_telephone_number": "641-366-3440"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cokato Keaveny Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cokato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.