Optimedicus LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

OPTIMEDICUS LLC

Practice address

8609 Lyndale Ave S Ste 101K
Bloomington, MN 55420-2734

Phone

(612) 704-8030

NPI assigned

Jun 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed ShukriNPI 1679286462

Title

Pharmacist

Phone

(612) 704-8030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mohamed Shukri

  • Pharmacist
  • Bloomington, MN
  • NPI 1679286462
  NPD Authorized official

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1083455166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 101K",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 LYNDALE AVE S STE 101K",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202734",
            "telephone_number": "612-704-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMEDICUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "SHUKRI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "612-704-8030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.