Active NPI
A & E Pharmacy LLC
Doing business as A & E Pharmacy
- Long Term Care Pharmacy
- Arden Hills, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- 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, 2024
- 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
- Dan Bieurance
- Title
- Director of Pharmacy
- Phone
- (612) 238-8615
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177173 | Other | PK |
Other names 1
- A & E Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| A & E Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Arden Hills, MN
- NPI 1629839899
-
- Pharmacist
- Arden Hills, MN
- NPI 1770447435
-
- Pharmacist
- Arden Hills, MN
- NPI 1104794429
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.