MARKETPLACE PHARMACY LLC (NPI# 1780978841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780978841 |
Entity Type | Organization |
Organization Name | MARKETPLACE PHARMACY LLC |
Other Organization Name | MARKETPLACE PHARMACY |
Practice Address |
5262 Kyler Ave Ne Ste 112 Albertville MN 55301-4706 |
Mailing Address |
5262 Kyler Ave Ne Suite 112 Albertville MN 55301-4705 |
Practice Telephone | 7634972846 |
Practice Fax Number | 7634970597 |
Mailing Telephone | 7634972846 |
Mailing Fax Number | 7634970597 |
Enumeration Date | 2011-06-07 |
Last Update Date | 2014-10-13 |
Authorized Official Name | JAMES ROE (OWNER/PHARMACIST IN CHARGE) |
Authorized Official Telephone | 5073814794 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
264143 | MN | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 906653200 | 05 | |
PK | 2130454 | 01 |
Other Name | Type Code |
---|---|
Marketplace Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306105325 | Marketplace Pharmacy LLC | Pharmacy | 9205 Lavonia Rd, Carnesville, GA 30521-3203 | 2012-05-10 |
Street Address |
5262 KYLER AVE NE STE 112 |
City | ALBERTVILLE |
State | MN |
Zip Code | 55301-4706 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780127373 | Shanda Gwen Gaunt | Speech-Language Pathologist | 11091 Jasen Ave Ne Suite 2, Courage Kenny Rehabilitation Institute Albertville Part, Albertville, MN 55301 | 2016-11-30 |
1124478110 | Chiropractic and Wellness Center of Albertville | Chiropractor | 5676 Lacentre Ave., Suite 204, Albertville, MN 55301 | 2016-06-21 |
1184073157 | Keith Henry Diers | Physical Therapist | 11091 Jason Ave Nw, Suite 2, Albertville, MN 55301 | 2016-06-09 |
1154613479 | Francis Ogeto Raini | Nurse Practitioner | 7046 Lambert Lane Ne, Albertville, MN 55301 | 2011-05-04 |
1770802019 | Chiropractic and Wellness Center of Albertville Pllc | Chiropractor | 5676 Lacentre Avenue Ne, Suite 202, Albertville, MN 55301 | 2010-05-26 |
1508054339 | Andrea Lynn Anderson | Pharmacist | 5698 Lacentre Ave Ne, Albertville, MN 55301 | 2007-10-05 |
1235311853 | Now Care Medical Centers | Clinic/Center | 11091 Jason Ave Ne, Albertville, MN 55301 | 2007-12-05 |
1205022845 | Stellis Health, Pa | Clinic/Center | 11091 Jason Ave Ne, Albertville, MN 55301 | 2007-09-18 |
1902080518 | Heidi Sawdey | Chiropractor | 5676 Lacentre Avenue, Albertville, MN 55301-0000 | 2007-12-19 |
1275863508 | Lori Hunt | Community Health Worker | 10482 64th Way, Albertville, MN 55301-3517 | 2010-01-08 |
Find all providers in zip 55301 |
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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1972144798 | Hh Health System - Marshall LLC | Pharmacy | 11491 Us Highway 431 Ste 1, Albertville, AL 35950-0136 | 2019-10-02 |
1790888410 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 6181 Us Highway 431, Albertville, AL 35950-2011 | 2006-09-07 |
1093828642 | Crowell Family Pharmacy LLC | Pharmacy | 313 Sand Mountain Dr E, Albertville, AL 35950-2329 | 2006-08-17 |
1821001017 | Vitalstat, Inc. | Pharmacy | 103 Sand Mountain Dr Ne, Albertville, AL 35950-1709 | 2006-08-15 |
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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 | ALBERTVILLE |
Zip Code | 55301 |
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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.