NPIMap

Organization Active NPI

Innovative Pharmacy Solutions

  • Compounding Pharmacy
  • Anoka, MN
National Provider Identifier
1255610218
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
263570 Issued in MN
Legal business name
INNOVATIVE PHARMACY SOLUTIONS
Practice address
100 Monroe St
Anoka, MN 55303-2405
Phone
(763) 421-4788
Fax
(763) 421-9229
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Mr. Steve Simenson, BPHARM
Title
Pharmacist
Phone
(763) 421-4788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 263570 MN Primary

Addresses

Primary practice location

100 Monroe St
Anoka, MN 55303-2405

Mailing address

100 Monroe St
Anoka, MN 55303-2405
Phone (763) 421-4788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1255610218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MONROE ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032405",
            "telephone_number": "763-421-4788",
            "fax_number": "763-421-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONROE ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032405",
            "telephone_number": "763-421-4788",
            "fax_number": "763-421-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE PHARMACY SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "SIMENSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "763-421-4788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BPHARM"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "263570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.