Minnehaha Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MINNEHAHA PHARMACY INC

Doing business as

Minnehaha Pharmacy Inc

Practice address

757 Milton St N
Saint Paul, MN 55104-1530

Phone

(651) 307-9898

Fax

(651) 318-0955

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ali Elmi, ETC

Title

Owner

Phone

(651) 307-9898

Specialties & licenses 1

Addresses

Other names 1

• Minnehaha Pharmacy Inc Doing business as

Locations

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1457112815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 MILTON ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041530",
            "telephone_number": "651-307-9898",
            "fax_number": "651-318-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 MILTON ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041530",
            "telephone_number": "651-307-9898",
            "fax_number": "651-318-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEHAHA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-307-9898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnehaha Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.