Bloomington Drug Co

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2003872 Issued in MN

Legal business name

BLOOMINGTON DRUG CO

Practice address

509 West 98TH Street
Bloomington Drug
Bloomington, MN 55420

Phone

(952) 884-7528

Fax

(952) 884-6366

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Lynn Johnson

Title

Operations Manager

Phone

(952) 884-7528

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bloomington Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1689602674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W 98TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204713",
            "telephone_number": "952-884-7528",
            "fax_number": "952-884-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WEST 98TH STREET",
            "address_2": "BLOOMINGTON DRUG",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55420",
            "telephone_number": "952-884-7528",
            "fax_number": "952-884-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON DRUG CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-884-7528"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2003872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241357400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPB",
            "identifier": "2409438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomington Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Holly Bloom, MA, LMFT
• Cynthia Bloom
• Blooming Minds LLC
• Blooming Ridge LLC
• Bloomington Bethany Senior Housing,Inc
• Bloomington Drug Co
• Bloomington Drug Co.
• Bloomington Eye Center
• Bloomington Family Dental, PLLC
• Bloomington Home Care SC

• Community/Retail Pharmacy in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.