Organization Active NPI

Prime Therapeutics Pharmacy Solutions LLC

  • Community/Retail Pharmacy
  • Eagan, MN
National Provider Identifier
1437057502
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PRIME THERAPEUTICS PHARMACY SOLUTIONS LLC
Practice address
2900 Ames Crossing Rd Ste 200
Eagan, MN 55121-2498
Phone
(870) 888-0627
Fax
(870) 888-0627
NPI assigned
Oct 28, 2026
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Authorized official

Name
Mostafa Kamal
Title
Manager
Phone
(870) 888-0627

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2900 Ames Crossing Rd Ste 200
Eagan, MN 55121-2498

Mailing address

407 Lincoln Rd Ste 6H
Miami Beach, FL 33139-3023
Phone (870) 888-0627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1793145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1437057502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 LINCOLN RD STE 6H",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393023",
            "telephone_number": "870-888-0627",
            "fax_number": "870-888-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 AMES CROSSING RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212498",
            "telephone_number": "870-888-0627",
            "fax_number": "870-888-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME THERAPEUTICS PHARMACY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-28",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "MOSTAFA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-888-0627"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.