NPIMap

Organization Active NPI

Target Corporation

  • Community/Retail Pharmacy
  • Kennesaw, GA
National Provider Identifier
1639110539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TARGET CORPORATION
Doing business as
Target Corporation
Practice address
740 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-6860
Phone
(770) 425-6895
Fax
(770) 425-6895
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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 Spec
Phone
(612) 696-2262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

740 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144-6860

Mailing address

1039 Nicollet Ave
Tps1154
Minneapolis, MN 55403-2404

Other identifiers 1

IdentifierTypeStateIssuer
1154486OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • TARGET CORPORATION 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

740 Ernest W Barrett Pkwy NW
Kennesaw, GA 30144
Phone (770) 499-1018

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639110539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 NICOLLET AVE",
            "address_2": "TPS1154",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 ERNEST W BARRETT PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446860",
            "telephone_number": "770-425-6895",
            "fax_number": "770-425-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EKEREN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "MANAGED CARE ADMIN SPEC",
        "authorized_official_telephone_number": "612-696-2262"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1154486",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.