Organization Active NPI

A & E Pharmacy LLC

Doing business as A & E Pharmacy

  • Long Term Care Pharmacy
  • Arden Hills, MN
National Provider Identifier
1295222909
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
A & E PHARMACY LLC
Doing business as
A & E Pharmacy
Practice address
1265 Grey Fox Rd Ste 300
Arden Hills, MN 55112-6932
Phone
(612) 238-8615
Fax
(877) 490-1688
NPI assigned
Apr 18, 2018
Last updated
Feb 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Dan Bieurance
Title
Director of Pharmacy
Phone
(612) 238-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1265 Grey Fox Rd Ste 300
Arden Hills, MN 55112-6932

Mailing address

1265 Grey Fox Rd Ste 300
Arden Hills, MN 55112-6932
Phone (612) 238-8615

Other identifiers 1

IdentifierTypeStateIssuer
2177173OtherPK

Other names 1

  • A & E Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190910000658 MN DME Supplier - Pharmacy 3577892017 Practice locations: Arden Hills, MN
O20200115000715 MN Part B Supplier - Pharmacy 3577892017 Practice locations: Arden Hills, MN

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
A & E Pharmacy1265 Grey Fox Rd, Arden Hills, MN 55112-6932(612) 238-8615 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 19, 2019

National Provider Directory

National Provider Directory

Locations

1265 Grey Fox Rd
Ste 300
Saint Paul, MN 55112
Phone (612) 238-8615

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1295222909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 GREY FOX RD STE 300",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551126932",
            "telephone_number": "612-238-8615",
            "fax_number": "877-490-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 GREY FOX RD STE 300",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551126932",
            "telephone_number": "612-238-8615",
            "fax_number": "877-490-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & E PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "BIEURANCE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "612-238-8615"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A & E Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A & E Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arden Hills, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.