Target Corporation and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH0015805 Issued in FL

Legal business name

TARGET CORPORATION AND SUBSIDIARIES

Doing business as

Target Pharmacy

Practice address

26831 S Tamiami TRL
Bonita Springs, FL 34134-7823

Phone

(239) 948-1999

Fax

(239) 948-1903

NPI assigned

Jul 24, 2006

Last updated

Nov 10, 2010By 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

Denise Packer

Title

Managed Care Admin Specialist

Phone

(612) 696-2268

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TARGET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1255353892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL # 0910",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26831 S TAMIAMI TRL",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347823",
            "telephone_number": "239-948-1999",
            "fax_number": "239-948-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGED CARE ADMIN SPECIALIST",
        "authorized_official_telephone_number": "612-696-2268"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH0015805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1082267",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106334100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sypert Institute PA
• Alexander William Szecsodi, D.C.
• Carly Szot, PA
• Anastasia Talalenko, DMD
• Anthony John Tardibuono, DDS
• Valentine Rose Tarrete, APRN
• Vanessa Tarud, OD
• Donna M Taulbee, MD
• Erin M. Taylor, D.M.D
• TD Dental Group LLC

• Community/Retail Pharmacy in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.