MERWIN IV & SPECIALTY PHARMACY, LLC (NPI# 1336180116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336180116 |
| Entity Type | Organization |
| Organization Name | MERWIN IV & SPECIALTY PHARMACY, LLC |
| Practice Address |
1811 Old Highway 8 Nw Ste C New Brighton MN 55112-1828 |
| Mailing Address |
201 E 4th St 900 Omnicare Center Cincinnati OH 45202-4248 |
| Practice Telephone | 7635406290 |
| Practice Fax Number | 7635406291 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
265035 | MN | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
265035 | MN | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
265035 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NCPDP | 2427436 | 01 |
| MN | 438612400 | 05 |
| Street Address |
1811 OLD HIGHWAY 8 NW STE C |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841247400 | Merwin Long Term Care, Inc. | Pharmacy | 1811 Old Highway 8 Nw, Suite B, New Brighton, MN 55112-1828 | 2006-05-28 |
| 1578965513 | Stephen Langemo | Pharmacist | 1811 Old Highway 8 Nw, New Brighton, MN 55112-1828 | 2014-09-22 |
| 1548678550 | Richard John Goenner | Pharmacist | 1811 Old Highway 8 Nw, New Brighton, MN 55112-1828 | 2014-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912060146 | Biorx LLC | Pharmacy | 8690 Eagle Creek Pkwy, Savage, MN 55378-1284 | 2006-12-19 |
| 1821048950 | Accredo Health Group Inc | Pharmacy | 2915 Waters Rd, Ste 109, Eagan, MN 55121-1562 | 2006-05-11 |
| 1689112898 | Park Nicollet Methodist Hospital | Pharmacy | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2017-02-08 |
| 1942663711 | Healtheast Care System | Pharmacy | 1700 University Ave W, Saint Paul, MN 55104 | 2016-03-30 |
| 1548595218 | Healtheast Care System | Pharmacy | 1700 University Ave W, 4th Floor, Saint Paul, MN 55104-3727 | 2009-10-13 |
| 1942424742 | Park Nicollet Methodist Hospital | Pharmacy | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2007-04-12 |
| 1962537118 | Fairview Pharmacy Services, LLC | Pharmacy | 711b Kasota Ave Se, Minneapolis, MN 55414 | 2007-02-21 |
| 1841332764 | Children's Health Care | Pharmacy | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2007-02-14 |
| 1932266632 | Pediatric Home Respiratory Services LLC | Pharmacy | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2007-01-02 |
| City | NEW BRIGHTON |
| Zip Code | 55112 |
Please comment or provide details below to improve the information on MERWIN IV & SPECIALTY PHARMACY, LLC.
| 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.