PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1083721708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083721708 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Other Organization Name | PARK NICOLLET PHARMACY MINNEAPOLIS |
| Practice Address |
2001 Blaisdell Ave Minneapolis MN 55404-2414 |
| Mailing Address |
700 5th St S Hopkins MN 55343-7764 |
| Practice Telephone | 9529938004 |
| Practice Fax Number | 9529938150 |
| Mailing Telephone | 9529933804 |
| Mailing Fax Number | 9529931503 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-07-07 |
| Authorized Official Name | DAVID BUSCH (VICE PRESIDENT, PHARMACY OPERATIONS) |
| Authorized Official Telephone | 9529675049 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET PHARMACY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
260682 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2044934 | 01 | |
| MN | 569258000 | 05 |
| Other Name | Type Code |
|---|---|
| PARK NICOLLET PHARMACY MINNEAPOLIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
2001 BLAISDELL AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265415707 | John P Hedberg | Psychologist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2005-11-29 |
| 1780237594 | Ronald Conklin Stimson II | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2019-07-20 |
| 1649753781 | Kaitlyn Neville | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404 | 2018-09-14 |
| 1023463015 | Lonzale Ramsey Jr. | Family Medicine | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2016-04-27 |
| 1992171714 | Allison Kubly | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2015-08-16 |
| 1730561549 | Kathleen Caulfield | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2015-06-29 |
| 1154763837 | Adno A Gatah | Nurse Practitioner | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2013-07-23 |
| 1437593993 | Eduardo Miguel Medina | Family Medicine | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2013-04-26 |
| 1033474390 | Matthew D. Neuger | Physical Therapist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2012-07-11 |
| 1598057564 | Lindsay A Sorge | Pharmacist | 2001 Blaisdell Ave, Minneapolis, MN 55404-2414 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| 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 |
|---|---|---|---|---|
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1497143390 | Hcmc Community Pharmacy | Pharmacy | 701 4th Ave S Ste 100, Minneapolis, MN 55415-1631 | 2014-12-30 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| 1427471895 | Central Care Pharmacy LLC | Pharmacy | 2336 Central Ave Ne, Minneapolis, MN 55418-3710 | 2014-01-21 |
| 1861839433 | Northside Community Pharmacy | Pharmacy | 1501 Lowry Ave N, Minneapolis, MN 55411-1260 | 2013-05-22 |
| 1689980112 | Carepoint Pharmacy | Pharmacy | 2711 E Franklin Ave, Minneapolis, MN 55406-1105 | 2010-08-21 |
| 1174782106 | Bsh Group | Pharmacy | 811 E. 24th St, Minneapolis, MN 55404 | 2008-06-05 |
| 1689725665 | Snyder Drug Store Inc | Pharmacy | 4151 Fremont Ave N, Minneapolis, MN 55412-1626 | 2007-01-16 |
| 1407930159 | Fairview Health Servcies | Pharmacy | 500 Harvard St Se Rm 1550, Minneapolis, MN 55455-0363 | 2006-10-25 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on PARK NICOLLET HEALTH CARE PRODUCTS.
| 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.