Organization Active NPI

Como Pharmacy Inc

  • Community/Retail Pharmacy
  • Saint Paul, MN
National Provider Identifier
1194127985
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
264601 Issued in MN
Legal business name
COMO PHARMACY INC
Practice address
217 Como Ave Ste 107
Saint Paul, MN 55103-1838
Phone
(651) 487-0044
Fax
(651) 487-0045
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Authorized official

Name
Pao KueNPI 1154499127
Title
Pic / Owner
Phone
(651) 487-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 264601 MN Primary

Addresses

Primary practice location

217 Como Ave Ste 107
Saint Paul, MN 55103-1838

Mailing address

217 Como Ave
Suite 107
Saint Paul, MN 55103-1838
Phone (651) 487-0044

Other identifiers 1

IdentifierTypeStateIssuer
2148109OtherPK

Other names 1

  • COMO PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150724011849 MN DME Supplier - Pharmacy 3971816513 Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

217 Como Ave
Ste 107
Saint Paul, MN 55103
Phone (651) 487-0044

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1194127985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 COMO AVE",
            "address_2": "SUITE 107",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031838",
            "telephone_number": "651-487-0044",
            "fax_number": "651-487-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COMO AVE STE 107",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031838",
            "telephone_number": "651-487-0044",
            "fax_number": "651-487-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "KUE",
        "authorized_official_first_name": "PAO",
        "authorized_official_title_or_position": "PIC / OWNER",
        "authorized_official_telephone_number": "651-487-0044"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.