Preferred Choice Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

262161 Issued in MN

Legal business name

PREFERRED CHOICE PHARMACY

Practice address

900 Long Lake Rd
Ste 150
New Brighton, MN 55112-6428

Phone

(651) 636-3919

Fax

(651) 582-0290

NPI assigned

Mar 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey Prosch, RPH

Title

President

Phone

(651) 582-0286

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1003947102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD",
            "address_2": "STE 150",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LONG LAKE RD",
            "address_2": "STE 150",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126428",
            "telephone_number": "651-636-3919",
            "fax_number": "651-582-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CHOICE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "PROSCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-582-0286",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "262161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2425090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2425090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Long Term Care Pharmacy in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Long Term Care Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.