Organization Active NPI

Phalen Family Pharmacy LTD

  • Long Term Care Pharmacy
  • Saint Paul, MN
National Provider Identifier
1356128094
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
PHALEN FAMILY PHARMACY LTD
Practice address
1001 Johnson Pkwy Ste B-23
Saint Paul, MN 55106-3474
Phone
(651) 209-9000
Fax
(651) 209-9009
NPI assigned
Sep 14, 2023
Last updated
Oct 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Authorized official

Name
Dr. Cheng Lo, PHARM.D.NPI 1861424681
Title
President
Phone
(651) 209-9000

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 1

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

Addresses

Primary practice location

1001 Johnson Pkwy Ste B-23
Saint Paul, MN 55106-3474

Mailing address

1001 Johnson Pkwy Ste B-23
Saint Paul, MN 55106-3474
Phone (651) 209-9000

Other identifiers 1

IdentifierTypeStateIssuer
263673OtherMNSTATE LICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Phalen Family Pharmacy LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696723200000",
    "number": "1356128094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE B-23",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063474",
            "telephone_number": "651-209-9000",
            "fax_number": "651-209-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 JOHNSON PKWY STE B-23",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551063474",
            "telephone_number": "651-209-9000",
            "fax_number": "651-209-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHALEN FAMILY PHARMACY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "CHENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-209-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LICENSE NUMBER",
            "identifier": "263673",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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.