Active NPI
The Aliveness Project, Inc.
Doing business as THRIVERx
- Community/Retail Pharmacy
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2025
- Organization subpart
- Yes
- Parent organization
- THE ALIVENESS PROJECT, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Community Health Clinic/Center
- Minneapolis, MN
- NPI 1770714347
8921495946
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.
-
- Community Health Clinic/Center
- Minneapolis, MN
- NPI 1770714347
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.
-
- Pharmacist
- Minneapolis, MN
- NPI 1518390574
-
- Physician Assistant
- Minneapolis, MN
- NPI 1629221254
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1285305177
-
- Nurse Practitioner
- Minneapolis, MN
- NPI 1154483725
-
- Registered Dietitian
- Minneapolis, MN
- NPI 1922826940
-
- Infectious Disease Physician
- Rochester, MN
- NPI 1871572842
-
- Community Health Registered Nurse
- Minneapolis, MN
- NPI 1548050594
-
- Registered Dietitian
- Minneapolis, MN
- NPI 1982328613
-
- Pharmacist
- Minneapolis, MN
- NPI 1609472232
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1063022622
-
- Community Health Registered Nurse
- Minneapolis, MN
- NPI 1376458059
-
- Registered Dietitian
- Minneapolis, MN
- NPI 1679946966
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.