NPIMap

Organization Active NPI

Prairiestone Pharmacy LLC

  • Pharmacist
  • Saint Paul, MN
National Provider Identifier
1487733408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2627025 Issued in MN
Legal business name
PRAIRIESTONE PHARMACY LLC
Practice address
870 Grand Ave
Saint Paul, MN 55105-3291
Phone
(651) 225-2883
Fax
(651) 225-2890
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kari Harms
Title
Ar Coordinator
Phone
(763) 746-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 2627025 MN Primary

Addresses

Primary practice location

870 Grand Ave
Saint Paul, MN 55105-3291

Mailing address

2800 Campus Dr
Suite 30
Plymouth, MN 55441
Phone (763) 746-7779

Other names 1

  • PRAIRIESTONE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dailymed Pharmacy4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487733408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CAMPUS DR",
            "address_2": "SUITE 30",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-746-7779",
            "fax_number": "763-746-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 GRAND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053291",
            "telephone_number": "651-225-2883",
            "fax_number": "651-225-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIESTONE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARMS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "AR COORDINATOR",
        "authorized_official_telephone_number": "763-746-7764"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "2627025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAIRIESTONE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.