| NPI | 1184723611 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-21 |
| Last Updated | 2022-10-24 |
| Authorized Official | Ryan Okerlund President Phone: 2184443000 |
| Mailing Address | 408 Minnesota Ave Nw Bemidji, MN 56601-3127 United States Phone: (218) 444-3000 | Fax: (218) 444-6640 📍 View Map |
| Primary Practice Address | 408 Minnesota Ave Nw Bemidji, MN 56601-3127 United States Phone: (218) 444-3000 | Fax: (218) 444-6640 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | - | 2046698 | PK |
| MEDICAID | MN | 506060500 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MN | 260693 |
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About NPI 1184723611
Iverson Corner Drug Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1184723611. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Bemidji, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184723611?
NPI 1184723611 belongs to Iverson Corner Drug Inc, a Pharmacy, Community/Retail Pharmacy in Bemidji, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184723611 active?
The current status of NPI 1184723611 in the NPPES registry is Active. The record was last updated on 2022-10-24.
What specialty is NPI 1184723611?
NPI 1184723611 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184723611?
You can verify NPI 1184723611 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184723611?
The primary practice address on file for NPI 1184723611 is 408 Minnesota Ave Nw, Bemidji, MN 56601-3127. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184723611 issued?
NPI 1184723611 was first issued (enumerated) on 2006-09-21. The NPPES record was last updated on 2022-10-24.
Practice Location Map
Iverson Corner Drug Inc is located at 408 Minnesota Ave Nw, Bemidji, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Iverson Corner Drug Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184723611. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 260693 | MN |