COBORNS INC (NPI# 1467524132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467524132 |
| Entity Type | Organization |
| Organization Name | COBORNS INC |
| Other Organization Name | COBORN'S PHARMACY #2019 |
| Practice Address |
1100 7th Ave S Princeton MN 55371-4555 |
| Mailing Address |
Po Box 6146 Po Box 6146 Saint Cloud MN 56302-6146 |
| Practice Telephone | 7633898421 |
| Practice Fax Number | 7633898454 |
| Mailing Telephone | 3205342745 |
| Mailing Fax Number | 3202031095 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | LYNN R YOUNG (DIRECTOR OF PHARMACY) |
| 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 | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
261545 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1467524132 | 05 | |
| PK | 2047902 | 01 |
| Other Name | Type Code |
|---|---|
| COBORN'S PHARMACY #2019 | Doing Business As Name - Organization |
| COBORNS PHARMACY | 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 |
1100 7TH AVE S |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205927084 | James John Martineau | Nurse Practitioner | 1100 7th Ave S, Express Clinic, Princeton, MN 55371-4555 | 2006-09-27 |
| 1679958631 | Scott Schloe | Pharmacist | 1100 7th Ave S, Princeton, MN 55371-4555 | 2015-07-20 |
| 1306027776 | James Dale Mcnichols | Pharmacist | 1100 7th Ave S, Princeton, MN 55371-4555 | 2007-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| 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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|---|---|---|---|---|
| 1699112284 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr # A, Princeton, TX 75407-9607 | 2013-05-23 |
| 1235576877 | Thirumala Group LLC | Pharmacy | 201 E Princeton Dr, Princeton, TX 75407-9005 | 2013-05-22 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1043554504 | Walmart Inc. | Pharmacy | 300 21st Ave N, Princeton, MN 55371-6271 | 2012-11-21 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1396959938 | Princeton Pharmacy, Inc | Pharmacy | 610 N Main Street, Princeton, IL 61356-2006 | 2007-05-10 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1912099516 | New Jersey Cvs Pharmacy LLC | Pharmacy | 881 State Rd # 206, Princeton, NJ 08540-1436 | 2006-09-29 |
| 1366533796 | Hobert Drugs Inc | Pharmacy | 115 N Rum River Dr, Princeton, MN 55371-1616 | 2006-09-28 |
| Find all providers in PRINCETON | ||||
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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.