GOODRICH PHARMACY INC (NPI# 1346244274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346244274 |
| Entity Type | Organization |
| Organization Name | GOODRICH PHARMACY INC |
| Other Organization Name | GOODRICH PHARMACY, GOODRICH CLINICAL SERVICES |
| Practice Address |
601 Jacob Ln Anoka MN 55303-1776 |
| Mailing Address |
601 Jacob Ln Anoka MN 55303-2405 |
| Practice Telephone | 7634215540 |
| Practice Fax Number | 7634219229 |
| Mailing Telephone | 7634215540 |
| Mailing Fax Number | 7634219229 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | STEVEN THOMAS SIMENSON (PRESIDENT) |
| Authorized Official Telephone | 7634215540 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
265082 | MN | Suppliers |
| Y | 333600000X | Pharmacy | Z008330 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 24D0914028 | 01 | |
| MN | 571358700 | 05 |
| Other Name | Type Code |
|---|---|
| Goodrich Pharmacy, Goodrich Clinical Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619089612 | Goodrich Pharmacy Inc | Pharmacy | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2006-08-31 |
| 1891706305 | Goodrich Pharmacy Inc | Pharmacy | 23122 Saint Francis Blvd Nw, Saint Francis, MN 55070-9807 | 2006-08-10 |
| Street Address |
601 JACOB LN |
| City | ANOKA |
| State | MN |
| Zip Code | 55303-1776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402864 | Samantha Anne Russo | Pharmacist | 601 Jacob Ln, Anoka, MN 55303-1776 | 2020-06-24 |
| 1306498597 | Libbie Nyarangi | Nurse Practitioner | 601 Jacob Ln, Anoka, MN 55303-1776 | 2019-07-09 |
| 1174185714 | Emily K Hulke | Pharmacist | 601 Jacob Ln, Anoka, MN 55303-1776 | 2019-07-03 |
| 1861052482 | Regina Marie Browne | Advanced Practice Midwife | 601 Jacob Ln, Anoka, MN 55303-2487 | 2019-06-17 |
| 1023509882 | Jessica Kenser | Nurse Practitioner | 601 Jacob Ln, Anoka, MN 55303 | 2018-05-28 |
| 1083105308 | Mary Stephens | Nurse Practitioner | 601 Jacob Ln, Anoka, MN 55303-1776 | 2018-05-22 |
| 1427571066 | Courtney A Christopher | Pharmacist | 601 Jacob Ln, Anoka, MN 55303-1776 | 2017-07-25 |
| 1821547472 | Timothy Rauschke | Pediatrics | 601 Jacob Ln, Anoka, MN 55303 | 2016-09-23 |
| 1598117467 | Cory Lee Middendorf | Pharmacist | 601 Jacob Ln, Anoka, MN 55303-1776 | 2016-07-05 |
| 1295118297 | Meatta Ellen Gaypia | Nurse Practitioner | 601 Jacob Ln, Anoka, MN 55303-1776 | 2015-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1568083111 | Suite Living Senior Care of Ramsey | Assisted Living Facility | 7007 139th Lane Nw, Ramsey, MN 55303 | 2020-05-05 |
| 1154942258 | Naomi Nystrom | Clinical Neuropsychologist | Psychology-building A, 3301 7th Ave. N, Anoka, MN 55303 | 2020-04-29 |
| 1104452135 | Vnv Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 15200 Helium Street Nw, Ramsey, MN 55303 | 2020-03-22 |
| 1043851165 | Mary Rahn | Technician | 20650 Poppy St. Nw, Oak Grove, MN 55303 | 2019-09-30 |
| 1417509100 | Deka Ahmed Abdulle | Advanced Practice Midwife | 601 Jacob Lane, Mail Stop 39300a, Anoka, MN 55303 | 2019-07-12 |
| 1952818981 | Golden Hearts Home Care Services | Home Health | 609 Parkview Ct, Anoka, MN 55303 | 2017-12-29 |
| 1144740143 | Margret Kallstrom | Occupational Therapist | 929 Adams St., Anoka, MN 55303 | 2017-06-21 |
| 1376095471 | Sabra Ramsey Trs, LLC | Assisted Living Facility | 14401 Nowthen Blvd Nw, Ramsey, MN 55303 | 2016-10-25 |
| 1356794135 | Katlyn Marie Bass | Chiropractor | 1902 5th Ave S Suite 5, Anoka, MN 55303 | 2016-07-18 |
| Find all providers in zip 55303 | ||||
| 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 |
|---|---|---|---|---|
| 1801980156 | Snyders Drug | Pharmacy | 3852 St Frances Blvd, Anoka, MN 55303 | 2006-10-03 |
| 1649201641 | K Mart Corp | Pharmacy | 1100 W Highway 10, Anoka, MN 55303-6235 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033276 | Nina Marie Kleinschmidt | Pharmacy | 1315 Minnesota Ave, Detroit Lakes, MN 56501-3913 | 2019-10-07 |
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1295222909 | A & E Pharmacy LLC | Pharmacy | 1509 10th Ave S, Minneapolis, MN 55404-1754 | 2018-04-18 |
| 1215445085 | Genoa Healthcare LLC | Pharmacy | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 | 2018-01-16 |
| 1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
| 1740711753 | Hennepin Healthcare System Inc | Pharmacy | 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 | 2017-03-22 |
| 1568903532 | First Choice Pharmacy of Jordan PC | Pharmacy | 165 West Commerce Drive, Suite 110, Belle Plaine, MN 56011 | 2017-03-10 |
| 1013454545 | Genesis Recovery Services, LLC | Pharmacy | 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 | 2017-01-23 |
| 1104360973 | Group Health Plan, Inc. | Pharmacy | 3800 Park Nicollet Blvd Ste 1170, St Louis Park, MN 55416-2527 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
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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.