Active NPI
Minnesota Medication Repository Program
- Community/Retail Pharmacy
- Minneapolis, MN
National Provider Identifier
1013729482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachel Rockwell, PHARMD, RPH, MPH
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Robbinsdale, MN
- NPI 1396232724
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
- Minnesota Internship Center
- Minnesota Internship Center Charter School
- Minnesota Interpreters and Translators
- Minnesota Low Vision Store, Inc.
- Minnesota Lung Center LTD
- Minnesota Neurovascular & Skull Base Surgery
- Minnesota Oncology Hematology, PA
- Minnesota Orthopaedic Specialists, P.a.
- Minnesota Orthopedic Performance and Prevention LLC
- Minnesota Pain Prevention Clinic, P.a.
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.