LONGBELLA DRUG INC (NPI# 1063571446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063571446 |
| Entity Type | Organization |
| Organization Name | LONGBELLA DRUG INC |
| Other Organization Name | LONGBELLA DRUG CLINIC |
| Practice Address |
49725 County Rd 83 Suite 100 Staples MN 56479 |
| Practice Telephone | 2188948761 |
| Mailing Telephone | 2188948761 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | LANI LONGBELLA ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 2188942242 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | LONGBELLA DRUG INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
262927 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2427917 | 01 |
| Other Name | Type Code |
|---|---|
| LONGBELLA DRUG CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134224082 | Longbella Drug Inc | Pharmacy | 653 Pillsbury St N, Suite 2, Pillager, MN 56473-2543 | 2006-09-14 |
| 1750322186 | Longbella Drug Inc | Pharmacy | 421 2nd Ave Ne, Staples, MN 56479-2539 | 2006-06-09 |
| 1629014014 | Longbella Drug Inc | Pharmacy | 1233 Highway 10 S, Motley, MN 56466-8210 | 2006-06-22 |
| Street Address |
49725 COUNTY RD 83 SUITE 100 |
| City | STAPLES |
| State | MN |
| Zip Code | 56479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911545 | Lakewood Health System | Non-Pharmacy Dispensing Site | 49725 County Rd 83, Staples, MN 56479 | 2020-10-26 |
| 1912327669 | Adrianne Moen | Family Medicine | 49725 County Rd 83, Staples, MN 56479 | 2014-04-21 |
| 1205160397 | Nicole Marie Nelson | Pharmacist | 49725 County Rd 83, Staples, MN 56479 | 2009-09-23 |
| 1568628873 | Sean R Tingum | Pharmacist | 49725 County Rd 83, Lakewood Health System, Staples, MN 56479 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758471 | Hpm of Minnesota Pllc | Clinic/Center | 49725 Co Rd 83, Staples, MN 56479 | 2020-10-21 |
| 1639596505 | Barbara Kaneski I | Nurse Practitioner | 49725 Cty 83, Staples, MN 56479 | 2014-03-27 |
| 1932468683 | Lakewood Health System | General Acute Care Hospital | 401 Prairie Ave. N., 49725 Co. Hwy 83, Staples, MN 56479 | 2012-05-15 |
| 1821366683 | Staples Eye Clinic Psc | Optometrist | 922 Us 10 East, Staples, MN 56479 | 2011-12-08 |
| 1831364009 | Lani Longbellaroberts | Pharmacist | 49725 Cty Rd #83, Suite 100, Staples, MN 56479 | 2008-04-28 |
| 1316121858 | Seasons Adult Foster Care | Intermediate Care Facility, Mental Illness | 310 Wisconson Ave Se, Staples, MN 56479 | 2007-12-19 |
| 1881757169 | Peter Joseph Brenny | Dentist | 212 4th St Ne, Staples, MN 56479 | 2006-12-18 |
| 1932140837 | Lakewood Health System | Pharmacy | 49725 County Road 83, Staples, MN 56479 | 2006-06-10 |
| 1922057421 | St. Cloud Hospital | Clinic/Center | 403 East Prairie Ave, Staples, MN 56479 | 2006-05-10 |
| 1801844691 | Zachary Bailey | Dentist | 515 6th St Ne, Staples, MN 56479 | 2006-05-04 |
| Find all providers in zip 56479 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750322186 | Longbella Drug Inc | Pharmacy | 421 2nd Ave Ne, Staples, MN 56479-2539 | 2006-06-09 |
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|---|---|---|---|---|
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| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.