Organization Active NPI

JP Companies of Virginia Inc

  • Community/Retail Pharmacy
  • Virginia, MN
National Provider Identifier
1982746400
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
260477-6 Issued in MN
Legal business name
JP COMPANIES OF VIRGINIA INC
Doing business as
Family Drug Mart
Practice address
1400 S 13TH Ave
Virginia, MN 55792-3364
Phone
(218) 749-8943
Fax
(218) 749-8954
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Jerry John Prosnick, RPH
Title
Owner
Phone
(218) 749-8943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 260477-6 MN Primary

Addresses

Primary practice location

1400 S 13TH Ave
Virginia, MN 55792-3364

Mailing address

1400 S 13TH Ave
PO Box 76
Virginia, MN 55792-3364
Phone (218) 749-8943

Other names 1

  • Family Drug Mart Doing business as

National Provider Directory

National Provider Directory

Locations

1400 S 13th Ave
Virginia, MN 55792
Phone (218) 749-8943

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1982746400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S 13TH AVE",
            "address_2": "PO BOX 76",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923364",
            "telephone_number": "218-749-8943",
            "fax_number": "218-749-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S 13TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557923364",
            "telephone_number": "218-749-8943",
            "fax_number": "218-749-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JP COMPANIES OF VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "PROSNICK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-749-8943",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "260477-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.