PRAIRIESTONE PHARMACY LLC (NPI# 1952431884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952431884 |
| Entity Type | Organization |
| Organization Name | PRAIRIESTONE PHARMACY LLC |
| Other Organization Name | DAILYMED PHARMACY |
| Practice Address |
9995 W 69th St Ste 102 Eden Prairie MN 55344-3457 |
| Mailing Address |
Po Box 9830 Salt Lake City UT 84109-9830 |
| Practice Telephone | 9526565095 |
| Practice Fax Number | 9526565096 |
| Mailing Telephone | 8009731955 |
| Mailing Fax Number | 3175756195 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-07-01 |
| Authorized Official Name | MATTHEW MIDDENDORF (CFO, SECRETARY, TREASURER) |
| Authorized Official Telephone | 3175698234 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARCADIA RESOURCES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 262983 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 778630000 | 05 |
| Other Name | Type Code |
|---|---|
| DAILYMED PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508996497 | Prairiestone Pharmacy LLC | Pharmacist | 4101 Ravenswood Rd, Suite 105, Fort Lauderdale, FL 33312-5373 | 2007-03-07 |
| 1487733408 | Prairiestone Pharmacy LLC | Pharmacist | 870 Grand Ave, Saint Paul, MN 55105-3291 | 2006-11-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Prairiestone Pharmacy LLC | 9229 Delegates Row Ste 260, Indianapolis, Indiana 46240 |
| Street Address |
9995 W 69TH ST STE 102 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-3457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497902043 | Joseph Marion Delallo | Pharmacist | 9995 W 69th St, Suite 102, Eden Prairie, MN 55344-3457 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437541513 | Sara Sue Andersen | Pharmacist | 17979 Cobblestone Way, Eden Prairie, MN 55347-2161 | 2015-02-25 |
| 1750709267 | Sarah Wakefield | Pharmacist | 9396 Creekwood Dr, Eden Prairie, MN 55347-2726 | 2014-04-01 |
| 1265724496 | Melanie Kay Proctor | Pharmacist | 14301 Martin Dr Apt 518, Eden Prairie, MN 55344-3019 | 2011-05-05 |
| 1477683514 | Elizabeth Shea | Pharmacist | 14166 Mccoy Ct, Eden Prairie, MN 55347-1745 | 2007-03-07 |
| 1851999684 | Christine Harris-boyer | Pharmacist | 12195 Singletree Ln, Eden Prairie, MN 55344-4214 | 2020-10-14 |
| 1568060515 | Ranjani Chandrashekar | Pharmacist | 12195 Singletree Ln, Eden Prairie, MN 55344-7921 | 2020-10-13 |
| 1659979532 | Teresa Welch | Pharmacist | 12195 Singletree Ln, Eden Prairie, MN 55344-4214 | 2020-10-13 |
| 1518564970 | Erik Schaefer | Pharmacist | 10180 Hennepin Town Rd, Eden Prairie, MN 55347-3175 | 2020-10-07 |
| 1457964082 | Jessica Mccabe | Pharmacist | 8240 Flying Cloud Dr, Eden Prairie, MN 55344-5316 | 2020-08-24 |
| 1518579713 | Emily Anne Rath | Pharmacist | 8240 Flying Cloud Dr, Eden Prairie, MN 55344-5316 | 2020-08-19 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on PRAIRIESTONE PHARMACY LLC.
| 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.