Organization Active NPI

Target Corporation and Subsidiaries

  • Community/Retail Pharmacy
  • N Las Vegas, NV
National Provider Identifier
1396767992
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH1476 Issued in NV
Legal business name
TARGET CORPORATION AND SUBSIDIARIES
Practice address
2189 W Craig Rd
N Las Vegas, NV 89032-3019
Phone
(702) 648-1153
Fax
(702) 648-1153
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Robyn Stortroen
Title
Healthcare Enrollment Specialist
Phone
(612) 696-8311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH1476 NV Primary

Addresses

Primary practice location

2189 W Craig Rd
N Las Vegas, NV 89032-3019

Mailing address

1000 Nicollet Mall # 1795
Minneapolis, MN 55403-2542

Other identifiers 2

IdentifierTypeStateIssuer
2051383OtherPK
2802179MedicaidNV

Other names 1

  • TARGET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1396767992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL # 1795",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2189 W CRAIG RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890323019",
            "telephone_number": "702-648-1153",
            "fax_number": "702-648-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "STORTROEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "HEALTHCARE ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "612-696-8311"
    },
    "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": "NV",
            "license": "PH1476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2051383",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2802179",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.