Organization Active NPI

Target Pharmacy

  • Pharmacy
  • Minneapolis, MN
National Provider Identifier
1194100214
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
183500000X Issued in MN
Legal business name
TARGET PHARMACY
Practice address
2500 E Lake St
Minneapolis, MN 55406-1909
Phone
(612) 721-1611
NPI assigned
Jul 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Melissa Nord
Title
Healthcare Business Partner
Phone
(612) 220-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 183500000X MN Primary

Addresses

Primary practice location

2500 E Lake St
Minneapolis, MN 55406-1909

Mailing address

4736 Grand Ave S
Minneapolis, MN 55419-5430

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1194100214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 GRAND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061909",
            "telephone_number": "612-721-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "HEALTHCARE BUSINESS PARTNER",
        "authorized_official_telephone_number": "612-220-6101"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "183500000X",
            "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 Jul 30, 2015; 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.