Provider Demographics
NPI:1376588574
Name:MEDSAVE INC
Entity Type:Organization
Organization Name:MEDSAVE INC
Other - Org Name:MEDSAVE DISCOUNT PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KACSIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-300-7155
Mailing Address - Street 1:4461 WINNETKA AVE N
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55428-4928
Mailing Address - Country:US
Mailing Address - Phone:763-252-0094
Mailing Address - Fax:763-252-0098
Practice Address - Street 1:4461 WINNETKA AVE N
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428-4928
Practice Address - Country:US
Practice Address - Phone:763-252-0094
Practice Address - Fax:763-252-0098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MN26239513336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2427107OtherNCPDP PROVIDER IDENTIFICATION NUMBER