Organization Active NPI

The Aliveness Project, Inc.

Doing business as THRIVERx

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1386324226
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
THE ALIVENESS PROJECT, INC.
Doing business as
THRIVERx
Practice address
3808 Nicollet Ave
Minneapolis, MN 55409-1304
Phone
(612) 822-7946
Fax
(612) 677-3098
NPI assigned
Jul 24, 2023
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE ALIVENESS PROJECT, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Matt Toburen
Title
Executive Director
Phone
(612) 822-7946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3808 Nicollet Ave
Minneapolis, MN 55409-1304

Mailing address

3808 Nicollet Ave
Minneapolis, MN 55409-1304
Phone (612) 484-3113

Other names 1

  • THRIVERx Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250121001013 MN Part B Supplier - Pharmacy 8921495946 Practice locations: Minneapolis, MN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
The Aliveness Project Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1386324226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091304",
            "telephone_number": "612-484-3113",
            "fax_number": "612-677-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091304",
            "telephone_number": "612-822-7946",
            "fax_number": "612-677-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALIVENESS PROJECT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ALIVENESS PROJECT, INC.",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "TOBUREN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-822-7946"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIVERx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THRIVERx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.