Astrup Drug Inc
Organization Active NPI Community/Retail Pharmacy · Owatonna, MN
NPI 1992809081 · NPPES record last updated Jul 18, 2016
Key facts
- NPI
- 1992809081
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 264432 (MN)
- Legal business name
- ASTRUP DRUG INC
- Practice address
- 410 Hoffman Dr
Owatonna, MN 55060-2348 - Phone
- (507) 451-0240
- Fax
- (507) 451-5134
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- David Brooks
- Title
- District Pharmacy Manager
- Phone
- (612) 618-6340
Other NPIs on the same Medicare enrollment 16
Other NPIs with the same Medicare PAC ID 16
Corporate family (same tax ID) 39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061018000102 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 7810993623 |
23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Worthington, MN; Austin, MN; Spring Grove, MN; Rushford, MN; Owatonna, MN; Northfield, MN; Mendota Heights, MN; Le Sueur, MN… |
| O20100930064793 | MN | DME Supplier - Pharmacy | 7810993623 | Practice locations: Owatonna, MN |
National Provider Directory
- Tax ID family
- Sterling LTC Pharmacy
Locations
410 Hoffman Dr
Owatonna, MN 55060
Phone (507) 451-0140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 264432 | MN | Yes |
Addresses
Primary practice location
410 Hoffman Dr
Owatonna, MN 55060-2348
Mailing address
905 N Main St
PO Box 658
Austin, MN 55912-3357
Phone (507) 434-7428
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060858100 | Medicaid | MN | |
| 2045231 | Other | PK |
Other names
- STERLING DRUG
Other providers in Owatonna, MN
- Arc Minnesota LLC
- Autumn Rae Arendt
- Susan Arnold
- Astrup Drug Inc
- Astrup Drug Inc
- Astrup Drug, Inc
- Rebecca Anne Aten
- Damien D Autio
- Avanta Therapy LLC
- Lyda Azelton
All providers in Owatonna, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.