NPIMap

Organization Active NPI

Target Corporation

Doing business as Target T-2263

  • Durable Medical Equipment & Medical Supplies
  • Matteson, IL
National Provider Identifier
1528276342
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TARGET CORPORATION
Doing business as
Target T-2263
Practice address
4647 Promenade Way
Relo 0869
Matteson, IL 60443-2981
Phone
(708) 898-5009
Fax
(708) 898-5009
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Paula Ekeren
Title
Managed Care Admin
Phone
(612) 696-2262

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

4647 Promenade Way
Relo 0869
Matteson, IL 60443-2981

Mailing address

1000 Nicollet Mall
Attn Pharmacy Managed Care
Minneapolis, MN 55403-2542
Phone (612) 696-2262

Other names 1

  • Target T-2263 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Target33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

Locations

4647 Promenade Way
#869
Matteson, IL 60443
Phone (708) 898-5009

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528276342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL",
            "address_2": "ATTN PHARMACY MANAGED CARE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032542",
            "telephone_number": "612-696-2262",
            "fax_number": "612-696-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 PROMENADE WAY",
            "address_2": "RELO 0869",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432981",
            "telephone_number": "708-898-5009",
            "fax_number": "708-898-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EKEREN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "MANAGED CARE ADMIN",
        "authorized_official_telephone_number": "612-696-2262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Target T-2263",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.