Coborns Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

265384 Issued in MN

Legal business name

COBORNS INC

Doing business as

Coborn's Pharmacy Services #1702
Coborns Pharmacy Services

Practice address

110 1St St S Ste B
Sauk Rapids, MN 56379-1404

Phone

(877) 251-5543

Fax

(800) 893-4666

NPI assigned

Jul 29, 2017

Last updated

Aug 21, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

COBORNS INCAs reported in NPPES

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

Authorized official

Name

Lynn R Young, RPH

Title

Director of Pharmacy

Phone

(320) 534-2743

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 2

• COBORN'S PHARMACY SERVICES #1702 Doing business as
• COBORNS PHARMACY SERVICES Doing business as

Part of

Coborns Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coborns Inc

  dba Coborn's Pharmacy #2027

  • Community/Retail Pharmacy
  • Glencoe, MN
  • NPI 1881632123
  NPPES parent name

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

{
    "created_epoch": "1501286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1497279608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6146",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563026146",
            "telephone_number": "320-534-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1ST ST S STE B",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791404",
            "telephone_number": "877-251-5543",
            "fax_number": "800-893-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBORNS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COBORNS INC",
        "enumeration_date": "2017-07-29",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "320-534-2743",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MN",
            "license": "265384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1797279608",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "265384",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2433580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COBORN'S PHARMACY SERVICES #1702",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COBORNS PHARMACY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tamara Jean Christopherson
• Anna Clavin
• Coborns Inc (Coborn's Central Support Pharmacy #9942)
• Coborns Inc (Coborn's Specialty pharmacy #1703)
• Coborns Inc (Coborn's Pharmacy #2001)
• Coborns Inc (Coborn's Pharmacy #2001)
• Community Care Clinics of Minnesota (Community Care Clinics of Minnesota - Access Transportation Services)
• Community Care Clinics of Minnesota - Mhi Building Office
• Connect Care Transportation LLC
• Hannah Kirsten Couette, PHARMD

• Long Term Care Pharmacy in Sauk Rapids, MN
• Providers in Sauk Rapids, MN by specialty
• Long Term Care Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.