Advantage Therapeutics

Primary specialty

PharmacyTaxonomy code 333600000X

License

261470-8 Issued in MN

Legal business name

ADVANTAGE THERAPEUTICS

Practice address

8400 Coral Sea Street NE
Mounds View, MN 55112

Phone

(763) 780-1500

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By 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

Mr. Larry Lindberg

Title

Ceo

Phone

(763) 780-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235278102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 CORAL SEA STREET NE",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "763-780-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 CORAL SEA STREET NE",
            "city": "MOUNDS VIEW",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "763-780-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-780-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "261470-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Mounds View, MN
• Providers in Mounds View, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.