LONGBELLA DRUG INC (NPI# 1134224082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134224082 |
| Entity Type | Organization |
| Organization Name | LONGBELLA DRUG INC |
| Other Organization Name | LONGBELLA DRUG PILLAGER |
| Practice Address |
653 Pillsbury St N Suite 2 Pillager MN 56473-2543 |
| Practice Telephone | 2187464321 |
| Practice Fax Number | 2187464316 |
| Mailing Telephone | 2187464321 |
| Mailing Fax Number | 2187464316 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | LANI LONGBELLA ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 2188942242 |
| Authorized Official Credential | RPH |
| 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 |
2623540 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048467 | 01 | |
| MN | 751163900 | 05 |
| Other Name | Type Code |
|---|---|
| LONGBELLA DRUG PILLAGER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063571446 | Longbella Drug Inc | Pharmacy | 49725 County Rd 83, Suite 100, Staples, MN 56479 | 2006-12-08 |
| 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 |
653 PILLSBURY ST N SUITE 2 |
| City | PILLAGER |
| State | MN |
| Zip Code | 56473-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912244815 | Randahl Burgess Hoghaug | Dentist | 1019 Camp Jim Rd. S.w., Pillager, MN 56473 | 2013-01-11 |
| 1629152855 | Cass & Morrison Cos Ind School Dist 116 | Local Education Agency (LEA) | 230 East Second Street South, Pillager, MN 56473 | 2006-10-24 |
| 1558463869 | Pillager Country Dental LLC | Dentist | 727 Buckskin Ave W, Pillager, MN 56473 | 2006-09-05 |
| 1295837508 | Clinton Lawrence Roberts | Dentist | 727 Buckskin Ave West, Pillager, MN 56473 | 2006-09-05 |
| 1811988983 | Lakewood Health System | Clinic/Center | 653 Pillsbury Street North, Suite 1, Pillager, MN 56473 | 2005-10-28 |
| 1760563217 | Rodney Frederick Meyer | Dentist | 727 Buckskin Ave W, Pillager, MN 56473 | 2006-10-18 |
| 1891740957 | St. Joseph's Medical Center | Clinic/Center | 680 Pillsbury St N, Pillager, MN 56473 | 2006-05-24 |
| 1902174907 | Pillager Area Charter School | Local Education Agency (LEA) | 12763 County Road 1 Sw, Pillager, MN 56473-2179 | 2011-12-05 |
| 1225154354 | Brenda Meech | Durable Medical Equipment & Medical Supplies | 1402 Acorn Dr Sw, Pillager, MN 56473-2217 | 2007-03-21 |
| 1538772652 | Stacy Ann Grossman | Nurse Practitioner | 12593 Lower Sylvan Rd Sw, Pillager, MN 56473-2267 | 2020-08-28 |
| Find all providers in zip 56473 | ||||
| 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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| 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.