ALLINA HEALTH SYSTEM (NPI# 1104880384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104880384 |
| Entity Type | Organization |
| Organization Name | ALLINA HEALTH SYSTEM |
| Other Organization Name | ALLINA HEALTH WOODBURY PHARMACY |
| Practice Address |
8675 Valley Creek Rd Woodbury MN 55125-2337 |
| Mailing Address |
2925 Chicago Ave Mr 10202 Minneapolis MN 55407-1321 |
| Practice Telephone | 6512413140 |
| Practice Fax Number | 6512413509 |
| Mailing Telephone | 6122621166 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | ANN BYRE (VICE PRESIDENT) |
| Authorized Official Telephone | 6122625992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | 2617491 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS OF MN (NCPDP#) | 24-23476 | 01 | |
| MN | 298425000 | 05 | |
| PREFERREDONE (NCPDP#) | 24-23476 | 01 | |
| MEDICA SELECTCARE(NCPDP#) | 24-23476 | 01 | |
| MEDICA CHOICE (NCPDP#) | 24-23476 | 01 | |
| HEALTHPARTNERS (NCPDP#) | 24-23476 | 01 |
| Other Name | Type Code |
|---|---|
| Allina Health Woodbury Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363707 | Allina Health System | Clinic/Center | 11850 Blackfoot St Nw Ste 290, Coon Rapids, MN 55433-2593 | 2020-10-12 |
| 1841806767 | Allina Health System | Clinic/Center | 4166 Lexington Ave N, Shoreview, MN 55126-6106 | 2020-09-16 |
| 1316553332 | Allina Health System | Clinic/Center | 7373 France Ave S Ste 208, Edina, MN 55435-4598 | 2020-09-16 |
| 1114533031 | Allina Health System | Clinic/Center | 755 Crossroads Campus Dr Ne Ste 100, Buffalo, MN 55313-5074 | 2020-09-16 |
| 1609481779 | Allina Health System | Clinic/Center | 5565 Blaine Ave Ste 100, Inver Grove Heights, MN 55076-1239 | 2020-09-15 |
| 1023678679 | Allina Health System | Nurse Practitioner | 18755 70th Way N, Maple Grove, MN 55311-3515 | 2019-06-17 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1265922207 | Allina Health System | Emergency Medicine | 3505 Bottineau Blvd, Robbinsdale, MN 55422-6602 | 2018-05-15 |
| 1871006700 | Allina Health System | Clinic/Center | 3955 Parklawn Ave Ste 100, Edina, MN 55435-5660 | 2017-11-14 |
| 1760993745 | Allina Health System | Surgery | 920 E 28th St Ste 540, Minneapolis, MN 55407-1134 | 2017-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ALLINA HEALTH SYSTEM INC. | Po Box 9310, Minneapolis, MN 55440 |
| Street Address |
8675 VALLEY CREEK RD |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053301036 | Eunice Lee | Physician Assistant | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2005-10-21 |
| 1881292878 | Jacob Webber | Dietitian, Registered | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2020-10-13 |
| 1669088688 | Allina Health System | Clinic/Center | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2020-09-16 |
| 1891310280 | Abubakar Aweis Sufi Sheikh | Spec/Tech, Pathology | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2020-06-11 |
| 1114571783 | Monica Luu | Nurse Practitioner | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2019-07-31 |
| 1467956870 | Katherine Elizabeth Nick | Social Worker | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2018-03-20 |
| 1194236372 | Sheryl Ann Cotton | Social Worker | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2017-10-16 |
| 1679099816 | Roberta Lynn Snead | Nurse Practitioner | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2017-08-18 |
| 1497279756 | Allina Health System | General Practice | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2017-07-28 |
| 1558890707 | Anna Gustafson | Nurse Practitioner | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2017-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215092671 | Evergreen Pharmacy | Pharmacy | 118 E Red Bank Ave, Woodbury, NJ 08096-3559 | 2006-12-26 |
| 1033203435 | Snyders Bros Inc | Pharmacy | 1750 Weir Dr, Woodbury, MN 55125-2252 | 2006-10-03 |
| 1841305984 | Supervalu Pharmacies Inc | Pharmacy | 8432 Tamarack Vlg, Woodbury, MN 55125-3383 | 2006-08-20 |
| 1528085925 | Walmart Inc. | Pharmacy | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2006-07-16 |
| 1811964190 | Woodson's Pharmacy, Inc. | Pharmacy | 304 W Main St, Woodbury, TN 37190-1125 | 2006-03-04 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1316267958 | N H Raahil LLC | Pharmacy | 160 N Broad St, Woodbury, NJ 08096-1720 | 2010-06-06 |
| 1609921253 | Cottage Pharmacy & Surgical Inc | Pharmacy | 8285 Jericho Tpke, Woodbury, NY 11797-1807 | 2007-01-24 |
| 1942305800 | Upr Care Corp | Pharmacy | 378 Syosset Woodbury Rd, Woodbury, NY 11797-1200 | 2006-09-14 |
| 1073545000 | Freds Stores of Tennessee Inc | Pharmacy | 1130 S Mccrary St, Woodbury, TN 37190-5997 | 2006-07-07 |
| Find all providers in WOODBURY | ||||
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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.