1104927094 NPI number — NAPOLEON DRUG INC

Table of content: (NPI 1104927094)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104927094 NPI number — NAPOLEON DRUG INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NAPOLEON DRUG INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
NAPOLEON DRUG
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104927094
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 10
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NAPOLEON
Provider Business Mailing Address State Name:
ND
Provider Business Mailing Address Postal Code:
58561-0010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
701-754-2203
Provider Business Mailing Address Fax Number:
701-754-2203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
214 MAIN AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPOLEON
Provider Business Practice Location Address State Name:
ND
Provider Business Practice Location Address Postal Code:
58561-0010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
701-754-2203
Provider Business Practice Location Address Fax Number:
701-754-4551
Provider Enumeration Date:
09/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WEIGEL
Authorized Official First Name:
KATLYN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/PIC
Authorized Official Telephone Number:
701-754-2203

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  494 , registered in the state of ND ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336L0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 21344 , issued by the state of ( ND ) . This identifiers is of the category "MEDICAID".
  • Identifier: 350-1485 . This is a "NABP" identifier , issued by the state of ( ND ) . This identifiers is of the category "OTHER".