NPIMap

Organization Active NPI

Target Stores a Div. of Target Corp.

  • Pharmacist
  • Columbia, SC
National Provider Identifier
1619384112
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35644 Issued in SC
Legal business name
TARGET STORES A DIV. OF TARGET CORP.
Practice address
10204 Two Notch Rd
Columbia, SC 29229-4386
Phone
(803) 788-0951
NPI assigned
Jul 16, 2014
Last updated
Jul 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Dr. Ryan Griesbaum, PHARMD
Title
Pharmacist
Phone
(724) 747-8567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35644 SC Primary

Addresses

Primary practice location

10204 Two Notch Rd
Columbia, SC 29229-4386

Mailing address

10204 Two Notch Rd
Columbia, SC 29229-4386
Phone (803) 788-0951

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

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1619384112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10204 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294386",
            "telephone_number": "803-788-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10204 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292294386",
            "telephone_number": "803-788-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET STORES A DIV. OF TARGET CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GRIESBAUM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "724-747-8567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "35644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.