Target Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH18178 Issued in FL

Legal business name

TARGET CORPORATION

Practice address

650 N Congress Ave
Attn Pharmacy Etl
Boynton Beach, FL 33426-3445

Phone

(561) 396-2203

Fax

(561) 536-0250

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Paula Ekeren

Title

Managed Care Admin Specialist

Phone

(612) 696-2262

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TARGET CORPORATION Doing business as

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1346457405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N CONGRESS AVE",
            "address_2": "ATTN PHARMACY ETL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N CONGRESS AVE",
            "address_2": "ATTN PHARMACY ETL",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263445",
            "telephone_number": "561-396-2203",
            "fax_number": "561-536-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "EKEREN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "MANAGED CARE ADMIN SPECIALIST",
        "authorized_official_telephone_number": "612-696-2262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH18178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25184400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1093549",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Chaundy Nurse Practitioner LLC
• Silin G Tan, OTR/L
• Cari Jean Tanella, RN-IBCLC
• Jocelyn Arlene Tang, APRN, FNP-C
• Thu Tang, APRN
• Ambreen Fatima Tariq, M.D.
• Melissa Tascone, APRN
• Anabelle Natalia Taveras, MD
• Mariam Ikladious Tawadros, RPH
• Alexis Moet Taylor

• Community/Retail Pharmacy in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.