NPIMap

Organization Active NPI

Children's Health Care

Doing business as Children's Hosptials and Clinics of MN

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1063659183
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
263375 Issued in MN
Legal business name
CHILDREN'S HEALTH CARE
Doing business as
Children's Hosptials and Clinics of MN
Practice address
2530 Chicago Ave
CSC 225
Minneapolis, MN 55404-4289
Phone
(612) 813-7290
Fax
(612) 813-7296
NPI assigned
Jan 12, 2009
Last updated
Oct 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Chestevia Gibson
Title
Outpatient Pharmacy Manager
Phone
(612) 813-7290

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 263375 MN Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

2530 Chicago Ave
CSC 225
Minneapolis, MN 55404-4289

Mailing address

PO Box 860123
Minneapolis, MN 55486-0112
Phone (612) 813-7290

Other identifiers 2

IdentifierTypeStateIssuer
2120511OtherPK
137647000MedicaidMN

Other names 1

  • Children's Hosptials and Clinics of MN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Health Care28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1063659183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860123",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860112",
            "telephone_number": "612-813-7290",
            "fax_number": "612-813-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE",
            "address_2": "CSC 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-7290",
            "fax_number": "612-813-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CHESTEVIA",
        "authorized_official_title_or_position": "OUTPATIENT PHARMACY MANAGER",
        "authorized_official_telephone_number": "612-813-7290"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263375",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2120511",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137647000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hosptials and Clinics of MN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children's Hosptials and Clinics of MN",
            "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 Oct 31, 2022; 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.