HUNT SILVER LAKE DRUG INC (NPI# 1700872280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700872280 |
| Entity Type | Organization |
| Organization Name | HUNT SILVER LAKE DRUG INC |
| Practice Address |
1512 Broadway Ave N Rochester MN 55906 |
| Mailing Address |
1510 N Broadway Rochester MN 55906-4146 |
| Practice Telephone | (507) 288-3831 |
| Practice Fax Number | 5072521731 |
| Mailing Telephone | 5072883831 |
| Mailing Fax Number | 5072521731 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | PHILIP HOMMERDING (OWNER) |
| Authorized Official Telephone | 5072893901 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
264485 | MN | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
264484 | MN | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
265449 | MN | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 610023600 | 05 | |
| NCPDP # | 2407749 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1518 N Broadway, Rochester, MN 559064146 | 5072883831 | 5072521731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447246921 | Hunt Silver Lake Drug Inc | Pharmacy | 1510 N Broadway, Rochester, MN 55906-4146 | 2005-09-21 |
| Street Address |
1512 BROADWAY AVE N |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472440 | Carole Ellen Jenson | Nurse Practitioner | Rochester Clinic, 3070 Wellner Drive Ne, Rochester, MN 55906 | 2018-10-11 |
| 1760853980 | Sebandy Home Care Services, LLC | Health Maintenance Organization | 2548 Lisa Ln Ne, Rochester, MN 55906 | 2015-10-14 |
| 1538550611 | Rachel Eldersveld | Nurse Practitioner | 716 12th Ave Ne, Rochester, MN 55906 | 2015-02-11 |
| 1639590045 | Riverstone Psychological Services | Community/Behavioral Health | 511 Northern Hills Dr Ne, Suite 2, Rochester, MN 55906 | 2014-01-02 |
| 1396177457 | Marjorie Evelyn Murray | Custodial Care Facility | 4501-22nd Ave N.e., Rochester, MN 55906 | 2013-07-31 |
| 1447532411 | Peter M Holm | Dentist | 120 North Broadway Ne, Suite B, Good Samaritan Dental Clinic, Rochester, MN 55906 | 2011-09-15 |
| 1154615193 | Amy Johnson Tremain | Psychologist | 3228 6th Ave Ne Unit B, Rochester, MN 55906 | 2011-06-07 |
| 1235451816 | Connie Krueger | Dental Hygienist | 120 North Broadway, Ne, Suite B, Rochester, MN 55906 | 2010-02-23 |
| 1700115508 | Smn Home Care, LLC | Home Health | 1700 N. Broadway, Suite 114, Rochester, MN 55906 | 2009-12-08 |
| 1528395068 | Ryley D Layden | Chiropractor | 3169 Wellner Dr. Ne, Suite C, Rochester, MN 55906 | 2009-11-04 |
| Find all providers in zip 55906 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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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|---|---|---|---|---|
| 1467717892 | Lifemed Pharmacy LLC | Pharmacy | 1249 Ridgeway Ave Ste Q, Rochester, NY 14615-3761 | 2012-07-11 |
| 1811009335 | Omnicare of New York, LLC | Pharmacy | 175 Humboldt St, Suite 225, Rochester, NY 14610-1060 | 2006-08-31 |
| 1003101338 | Genoa Healthcare, LLC | Pharmacy | 343 Woodlake Dr Se, Rochester, MN 55904-6242 | 2011-06-15 |
| 1487972246 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 250 Wallace Way, Rochester, NY 14624 | 2010-05-04 |
| 1740344654 | Rochester Psychiatric Center | Pharmacy | 1111 Elmwood Ave, Rochester, NY 14620-3005 | 2006-12-22 |
| 1417022526 | Park Ridge Apothecary, Inc | Pharmacy | 89 Genesee St, Rochester, NY 14611-3201 | 2006-11-22 |
| 1336256155 | University of Rochester | Pharmacy | 5901 Lac De Ville Blvd, Rochester, NY 14618-5600 | 2006-08-25 |
| 1275546863 | St Johns Health Care Corporation | Pharmacy | 150 Highland Ave, Rochester, NY 14620-3024 | 2006-08-14 |
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| 1629613005 | Lotus Ltc Pharmacy, LLC | Pharmacy | 9850 51st Ave N Ste 102, Plymouth, MN 55442-3271 | 2019-11-09 |
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1639634710 | Lewis Family Drug, LLC | Pharmacy | 1105 13th Ave S, Saint James, MN 56081 | 2019-02-04 |
| 1033680046 | Brainerd Medical Center Inc | Pharmacy | 280 Barclay Ave W, Ste 1100, Pine River, MN 56474 | 2018-12-17 |
| 1457832909 | Black Forest Pharmacy Services Ltd | Pharmacy | 108 S 6th St Ste 1, Brainerd, MN 56401-3594 | 2018-08-23 |
| 1467932905 | Watertown Pharmacy LLC | Pharmacy | 204 Lewis Ave S Ste 101, Watertown, MN 55388-4501 | 2018-08-15 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1346757457 | Twin Valley Pharmacy LLC | Pharmacy | 108 Viking Ave W., Ulen, MN 56585 | 2018-01-10 |
| 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.