PRAIRIECARE LLC (NPI# 1508378167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508378167 |
| Entity Type | Organization |
| Organization Name | PRAIRIECARE LLC |
| Other Organization Name | PRAIRIECARE |
| Practice Address |
9400 Zane Ave N Brooklyn Park MN 55443-1814 |
| Practice Telephone | 7637628800 |
| Practice Fax Number | 7633154469 |
| Mailing Telephone | 7637628800 |
| Mailing Fax Number | 7633154469 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Authorized Official Name | JOHN EGAN RYAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 7637626802 |
| Authorized Official Credential | JD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAIRIECARE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264804 | MN | Suppliers |
| Other Name | Type Code |
|---|---|
| PrairieCare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215182928 | Prairiecare LLC | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443 | 2008-11-21 |
| Street Address |
9400 ZANE AVE N |
| City | BROOKLYN PARK |
| State | MN |
| Zip Code | 55443-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648978 | Ryan Matthew Williams | Psychiatry & Neurology | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2006-06-16 |
| 1811536964 | Lindsay Fiedler-schiel | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2020-01-06 |
| 1043778095 | Julie Markwardt | Social Worker | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2019-03-08 |
| 1730651316 | Samantha Preusser | Social Worker | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2018-12-20 |
| 1720595440 | Jane Madeleine Axelrod | Pharmacist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2018-01-03 |
| 1477072320 | Marie Lynn Odegaard | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443 | 2017-09-12 |
| 1972028306 | Katie Ann Ullman | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-08-07 |
| 1003337643 | Jennifer Anne Franke | Marriage & Family Therapist | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-07-05 |
| 1558881136 | Hoa Canh Le | Counselor | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-06-23 |
| 1376078436 | Chelsee L Hepburn | Registered Nurse | 9400 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770100521 | El-lyon LLC | Home Health | 5501 88th Crescent North, Brooklyn Park, MN 55443 | 2020-06-28 |
| 1003431628 | Mercy Tasiame Quentin | Home Health | 7310 Unity Lane North, Brooklyn Park, MN 55443 | 2020-06-09 |
| 1386279719 | Andrew Sirlley Dogbe | Nursing Care | 8505 Xerxes Ln N, Brooklyn Park, MN 55443 | 2020-03-05 |
| 1952873630 | Melkezedek Care LLC | Home Health | 8525 N Edinbrook Crossing Suite 204, Brooklyn Park, MN 55443 | 2018-12-19 |
| 1487131330 | Grand St Paul Cvs L L C | Durable Medical Equipment & Medical Supplies | 4400 Oak Grove Parkway, Brooklyn Park, MN 55443 | 2018-07-24 |
| 1063901809 | Patient Centered Home Care Services, LLC. | Registered Nurse | 4127 Sunset Ter N, Brooklyn Park, MN 55443 | 2018-05-08 |
| 1093233942 | Ginni Ali | Registered Nurse | 7527 Yates Lane North, Brooklyn Park, MN 55443 | 2017-08-30 |
| 1437676335 | Uplifted Care Services LLC | Case Management | 3301 84th Ave, Brooklyn Park, MN 55443 | 2017-08-23 |
| 1912447780 | Zillah Mulubisha | Nurse Practitioner | Brooklyn Park Clinic, 7650 Zane Ave N, Minneapolis, MN 55443 | 2017-02-27 |
| 1356898985 | Abdul Kabba | Driver | 79oo Lad Parkway, Brooklyn Park, MN 55443 | 2016-09-01 |
| Find all providers in zip 55443 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851585467 | Noori L.L.C. | Pharmacy | 5507 Ritchie Hwy Ste A, Brooklyn Park, MD 21225-3472 | 2007-08-28 |
| 1669487898 | Walgreen Co | Pharmacy | 2024 85th Ave N, Brooklyn Park, MN 55444-1495 | 2006-07-29 |
| 1710441381 | Hennepin Healthcare System Inc | Pharmacy | 7650 Zane Ave N, Brooklyn Park, MN 55443-3151 | 2019-01-28 |
| 1144679010 | Hy Vee Inc | Pharmacy | 9409 Zane Ave N, Brooklyn Park, MN 55443-1814 | 2016-06-10 |
| 1356618243 | Target | Pharmacy | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2011-11-21 |
| 1992072847 | Target Pharmacy | Pharmacy | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2011-11-21 |
| 1316214208 | Target | Pharmacy | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2011-11-21 |
| 1376829267 | Target | Pharmacy | 7535 W Broadway Ave, Brooklyn Park, MN 55428-1287 | 2011-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN PARK |
| Zip Code | 55443 |
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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.