Target Corporation and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH17983 Issued in FL

Legal business name

TARGET CORPORATION AND SUBSIDIARIES

Doing business as

TARGET PHARMACY

Practice address

7501 W Colonial Dr
Orlando, FL 32818-6665

Phone

(407) 822-5215

Fax

(407) 822-5215

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Denise Packer

Title

Managed Care Admin Specialist

Phone

(612) 696-2268

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• TARGET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1417979063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL # 0910",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 W COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328186665",
            "telephone_number": "407-822-5215",
            "fax_number": "407-822-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "PACKER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGED CARE ADMIN SPECIALIST",
        "authorized_official_telephone_number": "612-696-2268"
    },
    "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": "PH17983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1092890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022855900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachael Tarasavage, AUD
• Cami L. Tarasewich, MSW
• Kseniya Tarasova, APRN
• Tarcon Care Services LLC
• Collin Joseph Tarczon
• Elizabeth Tarife Segura
• Brittany A Tarin, PTA
• Eeman Tariq, MD
• Nimra Tariq
• Shane Tarkir

• Community/Retail Pharmacy in Orlando, FL
• Providers in Orlando, 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 Aug 20, 2010; 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.