Active NPI
Sun Pharmacy Inc
- Community/Retail Pharmacy
- Brooklyn Center, MN
National Provider Identifier
1285989830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 263920
- Legal business name
- SUN PHARMACY INC
- Practice address
- 6350 Brooklyn Blvd
Brooklyn Center, MN 55429-2669 - Phone
- (763) 561-0722
- Fax
- (763) 561-0723
- NPI assigned
- Jul 19, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pao Kue, PHARMD
- Title
- Owner/Manager
- Phone
- (763) 561-0722
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 263920 | MN | Primary |
Addresses
Primary practice location
6350 Brooklyn Blvd
Brooklyn Center, MN 55429-2669
Mailing address
6350 Brooklyn Blvd
Brooklyn Center, MN 55429
Phone (763) 561-0722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285989830 | Medicaid | MN | |
| 2136261 | Other | PK |
Other names 1
- Sun Pharmacy
National Provider Directory
National Provider DirectoryLocations
6350 Brooklyn Blvd
Minneapolis, MN 55429
Phone (763) 561-0722
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Saint Paul, MN
- NPI 1154499127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531958400000",
"number": "1285989830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 BROOKLYN BLVD",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "55429",
"telephone_number": "763-561-0722",
"fax_number": "763-561-0723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6350 BROOKLYN BLVD",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554292669",
"telephone_number": "763-561-0722",
"fax_number": "763-561-0723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-19",
"last_updated": "2018-07-19",
"status": "A",
"authorized_official_last_name": "KUE",
"authorized_official_first_name": "PAO",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "763-561-0722",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "263920",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285989830",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136261",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sun Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.