JUDEAN INC (NPI# 1073611075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073611075 |
| Entity Type | Organization |
| Organization Name | JUDEAN INC |
| Other Organization Name | LICHTY DRUGS |
| Practice Address |
601 1st Ave Westbrook MN 56183 |
| Mailing Address |
Po Box 127 Westbrook MN 56183-0127 |
| Practice Telephone | 5072746114 |
| Practice Fax Number | 5072745688 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2009-03-20 |
| Authorized Official Name | DEAN LICHTY (PRESIDENT) |
| Authorized Official Telephone | 5072746114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
260515 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2409173 | 01 | |
| MN | 932757600 | 05 |
| Other Name | Type Code |
|---|---|
| LICHTY DRUGS | Doing Business As Name - Organization |
| Street Address |
601 1ST AVE |
| City | WESTBROOK |
| State | MN |
| Zip Code | 56183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710301346 | Victoria Radke | Pharmacist | 601 1st Ave, Westbrook, MN 56183-9500 | 2014-02-18 |
| 1003256694 | Cindy Jo Getting | Pharmacist | 601 1st Ave, Westbrook, MN 56183-9500 | 2013-06-27 |
| 1821224668 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 601 1st Ave, Westbrook, MN 56183-9500 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023187556 | Donald J Dill | Dentist | 732 6th Street, Westbrook, MN 56183 | 2006-11-07 |
| 1487609087 | City of Westbrook | Ambulance | 556 1st Ave, Westbrook, MN 56183-0367 | 2006-05-23 |
| 1831189273 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 149 1st Ave, Westbrook, MN 56183-1102 | 2005-10-26 |
| 1487710224 | Westbrook-walnut Grove | Local Education Agency (LEA) | 344 8th St, Westbrook, MN 56183-1116 | 2006-12-28 |
| 1528412012 | Dylan Bunting | Specialist/Technologist | 35201 360th Ave, Westbrook, MN 56183-2166 | 2016-04-20 |
| 1942253547 | Sanford Health Network | General Acute Care Hospital | 920 Bell Ave, Westbrook, MN 56183-9669 | 2006-05-18 |
| 1972789022 | Denise K Bond | Nurse Practitioner | 920 Bell Ave, Westbrook, MN 56183-9669 | 2008-01-18 |
| 1629294533 | Andrew Jon Kopperud | Internal Medicine | 920 Bell Ave, Westbrook, MN 56183-9669 | 2007-04-18 |
| 1861408387 | Jeffrey C Cassel | Family Medicine | 920 Bell Ave, Westbrook, MN 56183-9669 | 2006-08-01 |
| 1033126503 | Kelly J Hoffman | Nurse Practitioner | 920 Bell Ave, Westbrook, MN 56183-9669 | 2006-08-01 |
| Find all providers in zip 56183 | ||||
| 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] |
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| 1912374232 | Rite Aid Pharmacy | Pharmacy | 465 Main St, Westbrook, ME 04092-4328 | 2015-08-24 |
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| 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.