STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET (NPI# 1891021390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891021390 |
| Entity Type | Organization |
| Organization Name | STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET |
| Other Organization Name | MINNESOTA VETERANS HOME - PHARMACY |
| Practice Address |
5101 Minnehaha Ave Minneapolis MN 55417-1647 |
| Mailing Address |
5101 Minnehaha Ave Bldg 10 Minneapolis MN 55417-1647 |
| Practice Telephone | 6125485930 |
| Practice Fax Number | 6125485935 |
| Mailing Telephone | 6125485930 |
| Mailing Fax Number | 6125485935 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2019-03-19 |
| Authorized Official Name | MARY ELIZABETH JOHNSON (CENTRAL PHARMACY, PHARMACIST SENIOR) |
| Authorized Official Telephone | 6125485962 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
201261 | MN | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2413499 | 01 |
| Other Name | Type Code |
|---|---|
| Minnesota Veterans Home - Pharmacy | Doing Business As Name - Organization |
| Minnesota Veterans Home Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346709268 | State of Minnesota-minnesota Management and Budget | Clinic/Center | 5101 Minnehaha Ave Bldg 4, Minneapolis, MN 55417-1647 | 2019-03-19 |
| 1952742256 | State of Minnesota-minnesota Management and Budget | Skilled Nursing Facility | 56 Outer Dr, Silver Bay, MN 55614-1133 | 2013-07-15 |
| 1568735090 | State of Minnesota-minnesota Management and Budget | Skilled Nursing Facility | 1300 N Kniss Ave, Luverne, MN 56156-1006 | 2012-02-14 |
| 1295025864 | State of Minnesota-minnesota Management and Budget | Skilled Nursing Facility | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2011-04-15 |
| 1508165457 | State of Minnesota-minnesota Management and Budget | Assisted Living Facility | 1200 18th St E, Hastings, MN 55033-3680 | 2011-03-17 |
| Street Address |
5101 MINNEHAHA AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326635 | Bruce Meyer | Emergency Medicine | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2005-06-20 |
| 1336787076 | Rachel Cooke | Licensed Practical Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2019-12-12 |
| 1295257756 | Banchi Alebachew | Registered Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2017-07-16 |
| 1932444957 | Debra Deann Leyes | Pharmacist | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2012-12-02 |
| 1659638690 | Shahrior Imrul Kayes | Nurse Practitioner | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2012-04-16 |
| 1295025864 | State of Minnesota-minnesota Management and Budget | Skilled Nursing Facility | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2011-04-15 |
| 1376844316 | Elnora Michelle Hagans | Registered Nurse | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2010-11-08 |
| 1831490861 | Paula Opatrny | Nurse Practitioner | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2010-11-08 |
| 1952401507 | Mark S Burke | Internal Medicine | 5101 Minnehaha Ave, Minneapolis Veterans Home, Minneapolis, MN 55417-1647 | 2006-09-24 |
| 1245337898 | Debra Ann Zimmer | Internal Medicine | 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 | 2006-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235186834 | Merwin Long Term Care, Inc. | Pharmacy | 1509 10th Ave S, Suite 16, Minneapolis, MN 55404-1754 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544822 | Rolseth Drug Co | Pharmacy | 26709 Forest Blvd, Wyoming, MN 55092-8022 | 2020-06-29 |
| 1962037242 | United Community Pharmacy Corporation | Pharmacy | 2500 Highway 88 Ste 105, St Anthony, MN 55418-4138 | 2020-03-07 |
| 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 | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET.
| 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.