Organization Active NPI

Children's Health Care

Doing business as Children's Hospitals and Clinics of Minnesota

  • Specialty Pharmacy
  • Minneapolis, MN
National Provider Identifier
1558061465
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
CHILDREN'S HEALTH CARE
Doing business as
Children's Hospitals and Clinics of Minnesota
Practice address
2530 Chicago Ave South
CSC 225
Minneapolis, MN 55404-4289
Phone
(612) 813-7290
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Authorized official

Name
Chestevia Gibson, PHARMD
Title
Director Pharmacy Services
Phone
(612) 813-7292

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Specialty Pharmacy 3336S0011X NU Primary
Compounding Pharmacy 3336C0004X NU

Addresses

Primary practice location

2530 Chicago Ave South
CSC 225
Minneapolis, MN 55404-4289

Mailing address

PO Box 860123
Minneapolis, MN 55486-0123
Phone (612) 813-7290

Other names 1

  • Children's Hospitals and Clinics of Minnesota Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Childrens Health Care28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1558061465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860123",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860123",
            "telephone_number": "612-813-7290",
            "fax_number": "612-813-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CHICAGO AVE SOUTH",
            "address_2": "CSC 225",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044289",
            "telephone_number": "612-813-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CHESTEVIA",
        "authorized_official_title_or_position": "DIRECTOR PHARMACY SERVICES",
        "authorized_official_telephone_number": "612-813-7292",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospitals and Clinics of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.