MINNESOTA ONCOLOGY HEMATOLOGY PA (NPI# 1144281304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144281304 |
| Entity Type | Organization |
| Organization Name | MINNESOTA ONCOLOGY HEMATOLOGY PA |
| Other Organization Name | MN CANCER CARE PHARMACY |
| Practice Address |
1580 Beam Ave Maplewood MN 55109-1127 |
| Practice Telephone | 6512558480 |
| Practice Fax Number | 6517798989 |
| Mailing Telephone | 6512558480 |
| Mailing Fax Number | 6517798989 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | BRIAN MEGER (PHARMACY MANAGER) |
| Authorized Official Telephone | 6512558480 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
261921 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2047904 | 01 | |
| MN | 215781100 | 05 | |
| WI | 33234600 | 05 |
| Other Name | Type Code |
|---|---|
| MN CANCER CARE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598178733 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 110105 Pioneer Trl W, Suite 302, Chaska, MN 55318-2680 | 2014-06-05 |
| 1235498619 | Minnesota Oncology Hematology Pa | Dietitian, Registered | 2805 Campus Dr, Suite 105, Plymouth, MN 55441-2676 | 2012-05-07 |
| 1629387303 | Minnesota Oncology Hematology Pa | Clinic/Center | 3960 Coon Rapids Blvd Nw, # 311, Coon Rapids, MN 55433-2569 | 2010-09-29 |
| Street Address |
1580 BEAM AVE |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952378044 | Ellen E Bellairs | Radiology | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2006-03-07 |
| 1033564950 | Amy Lee | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2016-04-28 |
| 1699170209 | Madison L Palmer | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2014-10-24 |
| 1508275603 | Stephanie Ernesta Smith | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2014-08-04 |
| 1285079988 | Yang Liu | Internal Medicine | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2013-05-08 |
| 1871856641 | Ryan Kevin Funk | Internal Medicine | 1580 Beam Ave, Maplewood, MN 55109 | 2012-06-18 |
| 1588979306 | Katrina Margaret Jackson | Nurse Practitioner | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2010-08-17 |
| 1598919698 | Linh Nguyen | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2008-11-17 |
| 1730345380 | Brian Martin Meger | Pharmacist | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2008-08-04 |
| 1528267853 | Stephanie Krejcarek Childs | Radiology | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2007-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1003327917 | Fairview Pharmacy Services, LLC | Pharmacy | 2945 Hazelwood St, Ste 105, Maplewood, MN 55109 | 2017-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083138317 | Fairview Pharmacy Services LLC | Pharmacy | 17 Exchange St W Ste 150, Saint Paul, MN 55102-1045 | 2017-07-28 |
| 1760792691 | Goodrich Pharmacy Fridley | Pharmacy | 480 Osborne Rd Suite 180, Fridley, MN 55432 | 2010-10-13 |
| 1770719585 | Fairview Pharmacy Services LLC | Pharmacy | 14712 Victor Hugo Blvd N Ste 10, Hugo, MN 55038-6324 | 2009-06-08 |
| 1548400849 | Moka Pharmacy Inc | Pharmacy | 1515 E Franklin Ave, Minneapolis, MN 55404-2137 | 2009-02-26 |
| 1902012107 | Metro Treatment of Minnesota, Lp | Pharmacy | 14 E Central Entrance, Suite B, Duluth, MN 55811-5508 | 2007-05-15 |
| 1790909083 | Aitkin Community Hospital Inc. | Pharmacy | 27278 State Hwy 18, Garrison, MN 56450 | 2007-04-11 |
| 1437203882 | Shakopee Mdewakanton Sioux Comm Phcy | Pharmacy | 15045 Mystic Lake Dr Nw, Prior Lake, MN 55372-9011 | 2007-01-23 |
| 1407931553 | Waconia Pharmacy | Pharmacy | 430 Highway 5 West, Waconia, MN 55387-1795 | 2006-10-26 |
| 1548365406 | Mayo Foundation for Medical Education & Research | Pharmacy | 201 Center St W, Ste Lo92, Rochester, MN 55902-3003 | 2006-09-14 |
| 1407951353 | Mayo Foundation for Medical Education & Research | Pharmacy | 221 4th Ave Sw Ste 1116, Rochester, MN 55902-3110 | 2006-09-14 |
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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.