GROUP HEALTH PLAN, INC. (NPI# 1104360973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104360973 |
| Entity Type | Organization |
| Organization Name | GROUP HEALTH PLAN, INC. |
| Other Organization Name | PARK NICOLLET PHARMACY #87017 |
| Practice Address |
3800 Park Nicollet Blvd Ste 1170 St Louis Park MN 55416-2527 |
| Mailing Address |
Msc 21111b Po Box 1309 Minneapolis MN 55440 |
| Practice Telephone | 9529773050 |
| Practice Fax Number | 9528839747 |
| Mailing Telephone | 9529676876 |
| Mailing Fax Number | 9529676667 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2020-06-08 |
| Authorized Official Name | DAVID BUSCH (VP PHARMACY OPERATIONS) |
| Authorized Official Telephone | 9529676876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 155438300 | 05 |
| Other Name | Type Code |
|---|---|
| HealthPartners Pharmacy #87017 | Doing Business As Name - Organization |
| Park Nicollet Pharmacy #87017 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093261190 | Group Health Plan, Inc. | Dentist | 8515 Eagle Point Blvd, Lake Elmo, MN 55042-8624 | 2016-08-29 |
| 1669874392 | Group Health Plan, Inc. | Clinic/Center | 8200 Coral Sea St Ne, Saint Paul, MN 55112 | 2014-09-25 |
| 1942578620 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 31802 County Road 159, Collegeville, MN 56321-7177 | 2011-12-08 |
| 1962704346 | Group Health Plan, Inc. | Clinic/Center | 2100 3rd Ave, Anoka County Government Center, Anoka, MN 55303-2235 | 2010-11-17 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1700975216 | Group Health Plan, Inc. | Dentist | 1395 Curve Crest Blvd, Stillwater, MN 55082 | 2006-10-12 |
| 1861977761 | Group Health Plan, Inc. | Non-Pharmacy Dispensing Site | 14949 62nd St N, Stillwater, MN 55082-6132 | 2018-09-27 |
| 1508341306 | Group Health Plan, Inc. | Non-Pharmacy Dispensing Site | 430 Great Oak Drive, Waite Park, MN 56387-2504 | 2018-09-27 |
| 1861857302 | Group Health Plan, Inc. | Clinic/Center | 375 Jackson St, Suite 240, Saint Paul, MN 55101 | 2015-12-29 |
| 1922475920 | Group Health Plan, Inc. | Family Medicine | 700 Wildwood Rd, Mahtomedi, MN 55115 | 2015-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | GROUP HEALTH PLAN, INC. | 8170 33rd Ave S, Mail Stop 21114a, Bloomington, MN 55425 |
| Alabama Business Registrations | Group Health Plan, Inc. | 8170 33rd Ave. S., Bloomington, MN 55425 |
| Street Address |
3800 PARK NICOLLET BLVD STE 1170 |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55416-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639711492 | Ismahan Abdirahman Mohamed | Psychologist | 4236 Parkglen Rd, St Louis Park, MN 55416 | 2019-10-14 |
| 1598307860 | Ayman Abulaziz Mohamed | Counselor | 4326 Park Glen Rd, St Louis Park, MN 55416 | 2019-10-08 |
| 1831758929 | Ally Group Homes LLC | Assisted Living Facility | 2944 Princeton Ave South, Saint Louis Park, MN 55416 | 2019-06-11 |
| 1609371525 | Heather Margaret Flatgard | Chiropractor | 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 | 2018-03-25 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1316469760 | Evert Ray Boyd | Psychologist | 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 | 2017-07-07 |
| 1861941684 | Amanda Marie Tapper | Marriage & Family Therapist | 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 | 2016-09-22 |
| 1326410416 | Clear Health Chiropractic LLC | Chiropractor | 5614 W 36th St, St. Louis Park, MN 55416 | 2015-10-28 |
| 1568897833 | Kay Elizabeth Lichtenberger | Physical Therapist | 4415 W 36.5 St, St. Louis Park, MN 55416 | 2013-09-05 |
| 1710221510 | Aaron Christopher Oppelt | Counselor | 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 | 2012-11-16 |
| Find all providers in zip 55416 | ||||
| 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 |
|---|---|---|---|---|
| 1073740635 | Rbf LLC | Pharmacy | 5370 16th Ave, St Louis Park, MN 55416 | 2009-06-22 |
| 1659481273 | Costco Wholesale Corporation | Pharmacy | 5801 W 16th St, St Louis Park, MN 55416 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55416 |
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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.