SP Services

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

SP SERVICES

Doing business as

Spring Park Pharmacy

Practice address

4689 Shoreline Drive
Suite 100
Spring Park, MN 55384

Phone

(952) 955-2153

Fax

(952) 471-1212

NPI assigned

Aug 29, 2012

Last updated

Jul 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Poumil Patel

Title

President

Phone

(952) 471-3784

Specialties & licenses 3

Addresses

Other names 1

• Spring Park Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• LMN Services

  dba Watertown Pharmacy

  • Community/Retail Pharmacy
  • Watertown, MN
  • NPI 1720013279

  0042101313

  Same PAC ID

Tax ID family

SP Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• SP Services

  dba Spring Park Pharmacy LTC

  • Long Term Care Pharmacy
  • Spring Park, MN
  • NPI 1801714365
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jill Renee Heuer

  • Pharmacist
  • Spring Park, MN
  • NPI 1164814604
  NPD (past)
• Julie Marie Reineck, PHARMD

  • Pharmacist
  • Spring Park, MN
  • NPI 1790079788
  NPD (past)
• Rebecca Ann Rosdahl, PHARMD

  • Ambulatory Care Pharmacist
  • Chaska, MN
  • NPI 1093367161
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1164770756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4689 SHORELINE DR STE 100",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "553849715",
            "telephone_number": "952-471-3784",
            "fax_number": "952-471-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 SHORELINE DRIVE",
            "address_2": "SUITE 100",
            "city": "SPRING PARK",
            "state": "MN",
            "postal_code": "55384",
            "telephone_number": "952-955-2153",
            "fax_number": "952-471-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "POUMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-471-3784"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spring Park Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ridgeview Medical Center
• Jennifer H Rysso
• Sheila N Seats, MD
• Senior Care of Minnesota
• Seniors Care Services LLC
• SP Services (Spring Park Pharmacy LTC)
• Thomas G Stocks, MD
• TCM Wellness Clinic
• Kelly Jean Tibbetts, LICSW
• Mary Moe Trites, MD

• Community/Retail Pharmacy in Spring Park, MN
• Providers in Spring Park, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.