Organization Active NPI

Minnesota Medication Repository Program

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1013729482
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MINNESOTA MEDICATION REPOSITORY PROGRAM
Practice address
2112 Broadway St NE Ste 230
Minneapolis, MN 55413-3102
Phone
(612) 584-4647
Fax
(866) 254-9105
NPI assigned
Jan 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Rachel Rockwell, PHARMD, RPH, MPHNPI 1396232724
Title
Director & Pharmacist in Charge
Phone
(612) 584-4647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2112 Broadway St NE Ste 230
Minneapolis, MN 55413-3102

Mailing address

2112 Broadway St NE Ste 230
Minneapolis, MN 55413-3102
Phone (612) 584-4647

Other names 1

  • RoundtableRx Doing business as

National Provider Directory

National Provider Directory

Locations

2112 Broadway St NE
Ste 230
Minneapolis, MN 55413
Phone (612) 584-4647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1013729482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST NE STE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133102",
            "telephone_number": "612-584-4647",
            "fax_number": "866-254-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST NE STE 230",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554133102",
            "telephone_number": "612-584-4647",
            "fax_number": "866-254-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA MEDICATION REPOSITORY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "ROCKWELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR & PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "612-584-4647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD, RPH, MPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RoundtableRx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.