COBORNS INC (NPI# 1417480633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417480633 |
| Entity Type | Organization |
| Organization Name | COBORNS INC |
| Other Organization Name | COBORN'S LTC PHARMACY #2006 |
| Practice Address |
1105 2nd Ave Ne Little Falls MN 56345-2943 |
| Mailing Address |
Po Box 6146 Saint Cloud MN 56302-6146 |
| Practice Telephone | 3206322380 |
| Practice Fax Number | 3206323079 |
| Mailing Telephone | 3205342745 |
| Mailing Fax Number | 3202031095 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2020-11-05 |
| Authorized Official Name | MS. LYNN R YOUNG (DIRECTOR OF PHARMACY OPERATIONS) |
| Authorized Official Telephone | 3205342743 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | COBORNS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1760555304 | 05 | |
| NPI LTC | 1417480633 | 01 | |
| MN | 1417480633 | 05 | |
| MN | PHARMACY LICENSE | 261254 | 01 |
| NCPDP LTC | 2434760 | 01 | |
| MN | DEA | BC4361503 | 01 |
| Other Name | Type Code |
|---|---|
| Coborn's LTC Pharmacy #2006 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1124684634 | Coborns Inc | Pharmacy | 110 1st St S Ste C, Sauk Rapids, MN 56379-1404 | 2019-05-10 |
| 1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
| 1144676370 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 209 6th Ave Ne, Isanti, MN 55040-3220 | 2016-05-06 |
| 1003260969 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 10514 Main St, Hayward, WI 54843-6720 | 2016-04-18 |
| 1982968640 | Coborns Inc | Pharmacy | 1106 8th St Sw, Pipestone, MN 56164-1078 | 2012-06-27 |
| 1396067468 | Coborns Inc | Pharmacy | 250 33rd Ave S, Saint Cloud, MN 56301-6131 | 2010-02-17 |
| 1952623076 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 1001 4th St Se, Saint Cloud, MN 56304-1297 | 2010-02-16 |
| 1811133895 | Coborns Inc | Pharmacy | 1500 Elm St E, Saint Joseph, MN 56374-4695 | 2008-12-23 |
| 1033384102 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 200 Alton Ave Se, New Prague, MN 56071-5507 | 2008-04-29 |
| Street Address |
1105 2ND AVE NE |
| City | LITTLE FALLS |
| State | MN |
| Zip Code | 56345-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760555304 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 1105 2nd Ave Ne, Little Falls, MN 56345-2943 | 2006-11-15 |
| 1457783425 | Timothy Stephen Yeh | Pharmacist | 1105 2nd Ave Ne, Little Falls, MN 56345-2943 | 2013-08-01 |
| 1447699921 | Wendy E Greenwalt | Pharmacist | 1105 2nd Ave Ne, Little Falls, MN 56345-2943 | 2013-06-18 |
| 1831389634 | Christopher David Determan | Pharmacist | 1105 2nd Ave Ne, Coborn's Pharmacy, Little Falls, MN 56345 | 2007-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255823910 | Apple Tree Dental | Dentist | 808 3rd St Se Ste 330, Little Falls, MN 56345 | 2018-05-30 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1386079846 | Paul Carpenter | Physical Therapist | 104 2nd St Se, Little Falls, MN 56345 | 2013-09-03 |
| 1114282670 | Annalee Michelle Vandenheuvel | Social Worker | 1905 5th Ave Se, Little Falls, MN 56345 | 2012-07-11 |
| 1962761601 | Heather Van Stone | Audiologist | 109 5th St Ne Ste 2, Little Falls, MN 56345 | 2012-05-15 |
| 1003055989 | Brett Wayne Speer | Chiropractor | 114 1st Street Ne, Little Falls, MN 56345 | 2009-02-17 |
| 1104007988 | Sharon Anne Bell | Physical Therapist | 309 First St. Ne, Suite 101, Little Falls, MN 56345 | 2007-11-20 |
| 1215072996 | Robert Willhite | Pharmacist | 101 1st St Ne, Little Falls, MN 56345 | 2007-02-21 |
| 1568526275 | Jeffrey Hoffman | Physical Therapist | 815 Se 2nd Street, Unity Family Healthcare, Little Falls, MN 56345 | 2006-12-20 |
| 1700978020 | Jennifer Mary Hagen | Pharmacist | 101 1st St Se, Little Falls, MN 56345 | 2006-09-28 |
| Find all providers in zip 56345 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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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| 1629613005 | Lotus Ltc Pharmacy, LLC | Pharmacy | 9850 51st Ave N Ste 102, Plymouth, MN 55442-3271 | 2019-11-09 |
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1639634710 | Lewis Family Drug, LLC | Pharmacy | 1105 13th Ave S, Saint James, MN 56081 | 2019-02-04 |
| 1033680046 | Brainerd Medical Center Inc | Pharmacy | 280 Barclay Ave W, Ste 1100, Pine River, MN 56474 | 2018-12-17 |
| 1457832909 | Black Forest Pharmacy Services Ltd | Pharmacy | 108 S 6th St Ste 1, Brainerd, MN 56401-3594 | 2018-08-23 |
| 1467932905 | Watertown Pharmacy LLC | Pharmacy | 204 Lewis Ave S Ste 101, Watertown, MN 55388-4501 | 2018-08-15 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1346757457 | Twin Valley Pharmacy LLC | Pharmacy | 108 Viking Ave W., Ulen, MN 56585 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
| City | LITTLE FALLS |
| Zip Code | 56345 |
Please comment or provide details below to improve the information on COBORNS INC.
| 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.