COBORNS INC (NPI# 1003989641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003989641 |
Entity Type | Organization |
Organization Name | COBORNS INC |
Other Organization Name | COBORN'S PHARMACY #2008 |
Practice Address |
705 County Road 75 Nw Clearwater MN 55320-2070 |
Mailing Address |
Po Box 6146 Po Box 6146 Saint Cloud MN 56302-6146 |
Practice Telephone | 3205582454 |
Practice Fax Number | 3205584575 |
Mailing Telephone | 3205342745 |
Mailing Fax Number | 3202031095 |
Enumeration Date | 2006-11-15 |
Last Update Date | 2020-08-21 |
Authorized Official Name | LYNN R YOUNG (DIRECTOR OF PHARMACY) |
Authorized Official Telephone | 3205342743 |
Authorized Official Credential | RPH |
Is Organization Subpart | Y |
Parent Organization Name | COBORNS INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
262607 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 1003989641 | 05 | |
PK | 2048578 | 01 |
Other Name | Type Code |
---|---|
COBORN'S PHARMACY #2008 | Doing Business As Name - Organization |
COBORNS PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
1124684634 | Coborns Inc | Pharmacy | 110 1st St S Ste C, Sauk Rapids, MN 56379-1404 | 2019-05-10 |
1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
1144676370 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 209 6th Ave Ne, Isanti, MN 55040-3220 | 2016-05-06 |
1003260969 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 10514 Main St, Hayward, WI 54843-6720 | 2016-04-18 |
1982968640 | Coborns Inc | Pharmacy | 1106 8th St Sw, Pipestone, MN 56164-1078 | 2012-06-27 |
1396067468 | Coborns Inc | Pharmacy | 250 33rd Ave S, Saint Cloud, MN 56301-6131 | 2010-02-17 |
1952623076 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 1001 4th St Se, Saint Cloud, MN 56304-1297 | 2010-02-16 |
1811133895 | Coborns Inc | Pharmacy | 1500 Elm St E, Saint Joseph, MN 56374-4695 | 2008-12-23 |
1033384102 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 200 Alton Ave Se, New Prague, MN 56071-5507 | 2008-04-29 |
Street Address |
705 COUNTY ROAD 75 NW |
City | CLEARWATER |
State | MN |
Zip Code | 55320-2070 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386973469 | Paula Michelle Murray | Registered Nurse | 710 Kelsey Avenue, #204, Clearwater, MN 55320 | 2009-12-18 |
1417128695 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 600 County Rd 75, Clearwater, MN 55320 | 2008-03-17 |
1962684696 | Bassilleann P.a. | Dentist | 505 N. Walnut Street, Clearwater, MN 55320 | 2007-12-05 |
1487771960 | Kuo-tung Hsu | Dentist | 505 Walnut Street N., Clearwater, MN 55320 | 2007-03-22 |
1366503989 | Wendy Kay Lemke | Psychologist | 810 Clearwater Center, Clearwater, MN 55320 | 2006-12-13 |
1427086578 | Deanna Schmidt | Physician Assistant | 615 Nelson Dr, Clearwater, MN 55320 | 2006-06-29 |
1982648671 | Scott Rahm | Family Medicine | 615 Nelson Drive, Clearwater, MN 55320 | 2006-06-15 |
1376590760 | Eron Lee Bordson | Chiropractor | 935 Professional Building-highway 24, Clearwater, MN 55320 | 2006-05-30 |
1386610624 | Steven Michael Dingmann | Physical Therapist | 600 County Road 75, Clearwater, MN 55320 | 2006-02-27 |
1992771489 | Eric Olaf Emerson | Physical Therapist | 600 County Rd. 75, Clearwater, MN 55320 | 2006-02-24 |
Find all providers in zip 55320 |
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] |
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1407418809 | Marlene Shaker | Pharmacy | 1590 N Mcmullen Booth Rd Ste K4, Clearwater, FL 33759-2544 | 2019-07-05 |
1841749520 | Invotex LLC | Pharmacy | 28821 Us Highway 19 N, Clearwater, FL 33761-2583 | 2016-09-23 |
1194185512 | Quier Pharmacy LLC | Pharmacy | 130 E Ross St Ste 111, Clearwater, KS 67026-7833 | 2016-02-26 |
1891168589 | Baycare Urgent Care, LLC | Pharmacy | 3351 N Mcmullen Booth Rd., Clearwater, FL 33761-2014 | 2015-11-04 |
1164864039 | J&k Care LLC | Pharmacy | 756 N Belcher Rd, Clearwater, FL 33765-2138 | 2013-07-21 |
1831458868 | St Luke Pharmacy Corp | Pharmacy | 2019 Gulf To Bay Blvd, Clearwater, FL 33765-3703 | 2012-05-11 |
1982764197 | Bales Pharmacy, Inc. | Pharmacy | 116 East Ross St, Clearwater, KS 67026-7821 | 2006-12-11 |
1801990882 | Holiday Cvs LLC | Pharmacy | 1 S Missouri Ave, Clearwater, FL 33756-5760 | 2006-09-12 |
1487758330 | Holiday Cvs LLC | Pharmacy | 3765 Ulmerton Rd, Clearwater, FL 33762-4209 | 2006-09-12 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 55320 |
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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.