CANBY DRUG & GIFTS INC (NPI# 1588606016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588606016 |
| Entity Type | Organization |
| Organization Name | CANBY DRUG & GIFTS INC |
| Other Organization Name | CANBY DRUG |
| Practice Address |
130 St. Olaf Ave N Canby MN 56220 |
| Practice Telephone | 5072235955 |
| Practice Fax Number | 5072235696 |
| Mailing Telephone | 5072235955 |
| Mailing Fax Number | 5072235696 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MR. MARK ALEXANDER WHITTIER (PRESIDENT/PIC/PHARMACIST) |
| Authorized Official Telephone | 5078294169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
260659 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 095860300 | 05 | |
| PK | 2046653 | 01 | |
| SD | 8532830 | 05 |
| Other Name | Type Code |
|---|---|
| CANBY DRUG | Doing Business As Name - Organization |
| Street Address |
130 ST. OLAF AVE N |
| City | CANBY |
| State | MN |
| Zip Code | 56220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407230824 | Melissa Konold | Physical Therapist | 112 St. Olaf Avenue S, Canby, MN 56220 | 2015-07-15 |
| 1922197714 | Jorzach Incorporated | Optometrist | 107 1st St East, Canby, MN 56220 | 2006-10-12 |
| 1942216353 | Renae Lynn Ries | Optometrist | 107 1st Street East, Canby, MN 56220 | 2006-07-31 |
| 1356844385 | Kahley Elizabeth Meyer | Physician Assistant | 112 Saint Olaf Ave S, Canby, MN 56220 | 2018-03-15 |
| 1427064757 | James Darin Ries | Optometrist | 107 1st Street East, Canby, MN 56220 | 2006-07-31 |
| 1932288545 | Jennifer Jackson | Physical Therapist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2006-11-03 |
| 1992990956 | Crystal Lindquist | Speech-Language Pathologist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2007-09-12 |
| 1326248493 | Sarah N Krump | Physical Therapist | 1001 Ring Ave N, Canby, MN 56220-1010 | 2007-07-18 |
| 1316240518 | Rem Southwest Services, Inc. | Assisted Living Facility | 909 Ring Ave N, Canby, MN 56220-1071 | 2010-12-09 |
| 1003883034 | Craig Roy Kaddatz | Chiropractor | 130 1st Street W #108, Canby, MN 56220-1145 | 2006-03-08 |
| Find all providers in zip 56220 | ||||
| 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 |
|---|---|---|---|---|
| 1629170451 | Jb Sowles | Pharmacy | 911 Sw 4th Ave, Canby, OR 97013-3832 | 2006-09-02 |
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|---|---|---|---|---|
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| 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.