GOODRICH PHARMACY INC (NPI# 1891706305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891706305 |
| Entity Type | Organization |
| Organization Name | GOODRICH PHARMACY INC |
| Other Organization Name | GOODRICH PHARMACY ST FRANCIS |
| Practice Address |
23122 Saint Francis Blvd Nw Saint Francis MN 55070-9807 |
| Mailing Address |
601 Jacob Ln Anoka MN 55303-1776 |
| Practice Telephone | 7637530222 |
| Practice Fax Number | 7637533994 |
| Mailing Telephone | 7637530222 |
| Mailing Fax Number | 7637533994 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | STEVE SIMENSON (CEO) |
| Authorized Official Telephone | 7634215540 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
262083 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2048253 | 01 | |
| MN | 181617900 | 05 |
| Other Name | Type Code |
|---|---|
| GOODRICH PHARMACY ST FRANCIS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244274 | Goodrich Pharmacy Inc | Pharmacy | 601 Jacob Ln, Anoka, MN 55303-1776 | 2005-06-09 |
| 1619089612 | Goodrich Pharmacy Inc | Pharmacy | 15245 Bluebird St Nw, Andover, MN 55304-3538 | 2006-08-31 |
| Street Address |
23122 SAINT FRANCIS BLVD NW |
| City | SAINT FRANCIS |
| State | MN |
| Zip Code | 55070-9807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891197315 | Micah Byers | Pharmacist | 23122 Saint Francis Blvd Nw, Saint Francis, MN 55070-9807 | 2014-09-17 |
| 1114126109 | Erica Lynne Burman | Pharmacist | 23122 Saint Francis Blvd Nw, Saint Francis, MN 55070-9807 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760892780 | Lindsey Johnson | Physical Therapist | 3220 Bridge St, Suite 111, St. Francis, MN 55070 | 2014-04-29 |
| 1952651994 | Analia Pamela Debenetti | Specialist | 2658 230th Court Nw, St. Francis, MN 55070 | 2012-09-18 |
| 1073671350 | Timothy Mark Johnson | Dentist | 3715 Bridge St, St Francis, MN 55070 | 2006-12-05 |
| 1255499547 | Kurtis Steven Huether | Dentist | 3715 Bridge St Nw, St Francis, MN 55070 | 2006-12-05 |
| 1508042672 | St Francis Dental Care Pa | Dentist | 3715 Bridge St, St Francis, MN 55070 | 2008-01-18 |
| 1710031117 | Mary J Johnson | Chiropractor | 23624 St Francis Blvd, Suite 1, St Francis, MN 55070-0399 | 2007-01-22 |
| 1770751893 | Bruce William Barton | Psychologist | 23038 Rum River Blvd. Nw, St. Francis, MN 55070-0715 | 2008-02-11 |
| 1356712137 | Krista Marie Flanagan | Specialist/Technologist | 23212 Saint Francis Blvd Nw, Saint Francis, MN 55070-2300 | 2015-10-19 |
| 1619584547 | Emily Schwarz | Physical Therapist | 23212 Saint Francis Blvd Nw, Saint Francis, MN 55070-2300 | 2020-09-24 |
| 1639710478 | Thomas Battaglia | Physical Therapist | 23212 Saint Francis Blvd Nw, Saint Francis, MN 55070-2300 | 2019-10-02 |
| Find all providers in zip 55070 | ||||
| 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 |
|---|---|---|---|---|
| 1710911938 | Aurora Pharmacy Inc | Pharmacy | 2000 E Layton Ave, Saint Francis, WI 53235-6053 | 2006-07-11 |
| 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 | SAINT FRANCIS |
| Zip Code | 55070 |
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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.