Guardian Pharmacy of Minneapolis, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GUARDIAN PHARMACY OF MINNEAPOLIS, LLC

Doing business as

Guardian Pharmacy of Minneapolis, LLC

Practice address

9700 W 76TH St Ste 116
Eden Prairie, MN 55344-4202

Phone

(952) 206-4380

Fax

(855) 707-2501

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Casey Charles Halcrow, PHARMDNPI 1609144716

Title

President

Phone

(952) 206-4380

Specialties & licenses 2

Addresses

Other names 1

• Guardian Pharmacy of Minneapolis, LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Guardian Pharmacy of Minnesota LLC

  dba Guardian Pharmacy of Minnesota

  • Long Term Care Pharmacy
  • Sauk Rapids, MN
  • NPI 1568732709

  Member Of

  NPD member

Locations

Practitioners 1

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

• Casey Charles Halcrow, PHARMD

  • Pharmacist
  • Minneapolis, MN
  • NPI 1609144716
  NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1275111775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 W 76TH ST STE 116",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444202",
            "telephone_number": "952-206-4380",
            "fax_number": "855-707-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 W 76TH ST STE 116",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444202",
            "telephone_number": "952-206-4380",
            "fax_number": "855-707-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN PHARMACY OF MINNEAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "HALCROW",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-206-4380",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.guardianpharmacyminneapolis.com/",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HIE",
            "address_1": "9700 W 76th St Ste 116",
            "city": "Eden Prairie",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553444202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Guardian Pharmacy of Minneapolis, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Pharmacy of Minneapolis, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan J Groebner, M.D.
• Jason T Grose, D.C.
• David A Gross, M.D.
• Group Health, Inc.
• Group Health, Inc. (HealthPartners Central Lab)
• Guardian Pharmacy SVC LLC (Guardian Pharmacy Services LLC)
• Danielle S Gubash
• Sandra Lee Guggisberg, MS, LMFT
• Brennen Walter Gulden, OTR/L
• John Edward Gulon, DDS

• Long Term Care Pharmacy in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Long Term Care Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.