ELKO NEW MARKET FAMILY PHARMACY, LLC (NPI# 1134745730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134745730 |
| Entity Type | Organization |
| Organization Name | ELKO NEW MARKET FAMILY PHARMACY, LLC |
| Practice Address |
117 Old Town Road Elko New Market MN 55054 |
| Practice Telephone | 5074125712 |
| Practice Fax Number | 5074128291 |
| Mailing Telephone | 5074125712 |
| Mailing Fax Number | 5074128291 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-07-16 |
| Authorized Official Name | DR. MATTHEW STEVEN PIVEC (PHARMACIST/OWNER) |
| Authorized Official Telephone | 5074125712 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BOARD OF PHARMACY | 266091 | 01 |
| Street Address |
117 OLD TOWN ROAD |
| City | ELKO NEW MARKET |
| State | MN |
| Zip Code | 55054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942751797 | Katie Jo Larsen | Nurse Practitioner | Northfield Hospital & Clinics - Urgent Care Lakeville, 9974 214th St W, Lakeville, MN 55054 | 2016-10-17 |
| 1497872360 | Stonebrook Family Chiropractic LLC | Chiropractor | 321 Main Street, Suite 103, New Market, MN 55054 | 2007-03-23 |
| 1538419551 | Lisa Rae Vanderveen | Counselor | 2208 Jean Way, New Market, MN 55054-5421 | 2012-09-17 |
| 1548637739 | Triage Wellness Institute Pa | Specialist | 321 Main St, Suite 101, Elko New Market, MN 55054-5461 | 2015-08-24 |
| 1437424322 | Northfield Hospital | Clinic/Center | 321 Main St, Elko New Market, MN 55054-5461 | 2012-03-12 |
| 1639140080 | James D Buesgens | Chiropractor | 321 Main St, Ste 101, New Market, MN 55054-5461 | 2006-02-01 |
| 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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| 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 |
| 1487117792 | Costco Wholesale Corporation | Pharmacy | 3636 2nd St S, Saint Cloud, MN 56301-3732 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
| City | ELKO NEW MARKET |
| Zip Code | 55054 |
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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.