Active NPI
Andrew Behm
- Managed Care Organization Pharmacy
- Minneapolis, MN
National Provider Identifier
1093638090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Managed Care Organization Pharmacy
- License
- 116991
- Practice address
- 6625 W 78TH St
Minneapolis, MN 55439-2649 - Phone
- (612) 386-1829
- NPI assigned
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Managed Care Organization Pharmacy | 3336M0003X | 116991 | MN | Primary |
Addresses
Primary practice location
6625 W 78TH St
Minneapolis, MN 55439-2649
Mailing address
6009 Virginia Ave S
Edina, MN 55424-1757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1093638090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6009 VIRGINIA AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554241757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 W 78TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554392649",
"telephone_number": "612-386-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHM",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-04",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": "MN",
"license": "116991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.