Banadir Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

263804 Issued in MN

Legal business name

BANADIR PHARMACY LLC

Practice address

1 W Lake St Ste 195
Minneapolis, MN 55408-3362

Phone

(612) 825-1669

Fax

(612) 825-1667

NPI assigned

Dec 20, 2011

Organization subpart

No

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

Authorized official

Name

Edris Kosar

Title

Owner/Pharmacist in Charge

Phone

(267) 575-1293

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Banadir Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1487923488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST STE 195",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083362",
            "telephone_number": "612-825-1669",
            "fax_number": "612-825-1667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W LAKE ST STE 195",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083362",
            "telephone_number": "612-825-1669",
            "fax_number": "612-825-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANADIR PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "KOSAR",
        "authorized_official_first_name": "EDRIS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "267-575-1293"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "263804",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Banadir Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Banaadiri Home Healthcare
• Banadir Adult Day Care Inc
• Banadir Health Services
• Banadir Home Health Care LLC
• Banadir Home Health Care LLC.
• Banah Health LLC
• Lori Susan Banaszak, MD
• Dinesh Bande, M.D.
• Matt Bander
• Sumedha Reddy Bandi, DO

• Community/Retail Pharmacy in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.