TARGET CORPORATION (NPI# 1083637375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083637375 |
| Entity Type | Organization |
| Organization Name | TARGET CORPORATION |
| Other Organization Name | TARGET PHARMACY |
| Practice Address |
1701 18th Ave Nw Austin MN 55912-9337 |
| Mailing Address |
1000 Nicollet Mall # 1795 Minneapolis MN 55403-2542 |
| Practice Telephone | 5074377053 |
| Practice Fax Number | 5074604141 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | KIMBERLY JEROME (HC ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 6126968312 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
163230 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 058212300 | 05 | |
| PK | 2047910 | 01 |
| Other Name | Type Code |
|---|---|
| TARGET PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871787762 | Target Corporation | Durable Medical Equipment & Medical Supplies | 951 N Promenade Pkwy, Casa Grande, AZ 85194-5400 | 2007-09-04 |
| 1528276342 | Target Corporation | Durable Medical Equipment & Medical Supplies | 4647 Promenade Way, Relo 0869, Matteson, IL 60443-2981 | 2007-05-18 |
| 1568670131 | Target Corporation | Durable Medical Equipment & Medical Supplies | 20900 Westgate Mall, Fairview Park, OH 44126-1320 | 2007-05-18 |
| 1770665911 | Target Corporation | Durable Medical Equipment & Medical Supplies | 16400 State Road 54, Odessa, FL 33556-3720 | 2006-10-19 |
| 1316960693 | Target Corporation | Durable Medical Equipment & Medical Supplies | 2151 N Arizona Ave, Chandler, AZ 85225 | 2006-07-26 |
| 1144243429 | Target Corporation | Durable Medical Equipment & Medical Supplies | 12901 N Ih 35 Ste 3-300, Austin, TX 78753-1020 | 2006-07-26 |
| 1427071745 | Target Corporation | Pharmacy | 1717 Olentangy River Rd Ste 1899, Columbus, OH 43212-1452 | 2006-07-26 |
| 1376565929 | Target Corporation | Durable Medical Equipment & Medical Supplies | 1919 Wells Rd, Orange Park, FL 32073-1701 | 2006-07-24 |
| 1629090436 | Target Corporation | Durable Medical Equipment & Medical Supplies | 1717 E West Rd, Calumet City, IL 60409-5414 | 2006-07-24 |
| 1003838624 | Target Corporation | Durable Medical Equipment & Medical Supplies | 3003 W Vine St, Kissimmee, FL 34741-3822 | 2006-07-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | TARGET CORPORATION | 1000 Nicollet Mall, Minneapolis, MN 55403 |
| New York State Corporations | TARGET CORPORATION | 1000 Nicollet Mall, Minneapolis, Minnesota 55403 |
| Oregon Corporations, Companies and Business Names | TARGET CORPORATION | 1000 Nicollet Mall, Minneapolis, MN 55403 |
| Washington State Corporations | TARGET CORPORATION | 1000 Nicollet Mall, Minneapolis, MN 55403-2542 |
| Iowa Business Entities | TARGET CORPORATION | 1000 Nicollet Mall, Tps3155, Minneapolis, MN 55403 |
| Vermont Business Registrations | TARGET CORPORATION | 1000 Nicollet Mall, Minneapolis, MN 55403 |
| Indiana Business Entities | TARGET CORPORATION | 1000 Nicollet Mall, Tps 3155, Minneapolis, MN 55403 |
| Street Address |
1701 18TH AVE NW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-9337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669768958 | Brenda Carlene Vanfossen | Pharmacist | 1701 18th Ave Nw, T-1173, Austin, MN 55912-9337 | 2011-06-24 |
| 1194010264 | Paul W Swan | Pharmacist | 1701 18th Ave Nw, T-1173, Austin, MN 55912-9337 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1942817911 | Vivent Pharmacy LLC | Pharmacy | 7215 Cameron Rd Ste B, Austin, TX 78752-2911 | 2020-09-24 |
| 1649885195 | Rocket Pharmacy, Inc. | Pharmacy | 316 W 12th St Ste Ll050, Austin, TX 78701-1815 | 2020-09-11 |
| 1831737642 | Cvs Pharmacy, Inc | Pharmacy | 901 East 5 Th St, Suite 140, Austin, TX 78702-4071 | 2019-12-12 |
| 1972149680 | Capsule Austin LLC | Pharmacy | 210 W 7th St Ste B, Austin, TX 78701-2903 | 2019-11-18 |
| 1427617570 | Shubha LLC | Pharmacy | 1139 W Braker Ln Ste 102, Austin, TX 78758-4113 | 2019-06-12 |
| 1467921668 | Clearview Specialty LLC | Pharmacy | 8101 Cameron Rd Ste 303, Austin, TX 78754-3818 | 2018-11-16 |
| 1639679319 | Randall Legacy Inc | Pharmacy | 8825 Bee Caves Rd Ste A, Austin, TX 78746-4720 | 2018-02-19 |
| 1356863898 | Raiine's Specialty Pharmacy LLC | Pharmacy | 1301 W 38th St Ste 135, Austin, TX 78705-1033 | 2017-07-15 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| Find all providers in AUSTIN | ||||
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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.