NPIMap

Organization Active NPI

Childrens Health Care

  • Community/Retail Pharmacy
  • Saint Paul, MN
National Provider Identifier
1700979861
Registry record updated Jul 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2619949 Issued in MN
Legal business name
CHILDRENS HEALTH CARE
Doing business as
Children's Hospital and Clinics
Practice address
345 Smith Ave N
Saint Paul, MN 55102-2346
Phone
(651) 220-6963
Fax
(651) 220-6966
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2018

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

Authorized official

Name
William Bunzli, RPH
Title
MGR St.Paul Pharmacy
Phone
(651) 220-6806

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2619949 MN Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

345 Smith Ave N
Saint Paul, MN 55102-2346

Mailing address

PO Box 860123
Minneapolis, MN 55486-0112
Phone (651) 220-6806

Other identifiers 2

IdentifierTypeStateIssuer
090953000MedicaidMN
2048204OtherPK

Other names 1

  • Children's Hospital and Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 243301

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHILDREN'S HOSPITAL/CLINIC ST PAUL
Certification status
Terminated Voluntary: merger or closure, Jan 1, 2011
Provider type (POS)
Hospital – Children’s
Participating since
Jan 1, 1984
Last certification
Jul 26, 1988
Beds
126
Ownership / control type
Other
Most recent change of ownership
Oct 2, 1995 (1 total)
Facility address
345 North Smith Avenue
Saint Paul, MN 55102

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

Locations

18432 Kenrick Ave
Lakeville, MN 55044
Phone (952) 992-6700

12720 Bass Lake Rd
#C
Maple Grove, MN 55369

6050 Clearwater Dr
Minnetonka, MN 55343
Phone (952) 930-8600

628 Bielenberg Dr
Ste 201
Woodbury, MN 55125
Phone (612) 220-5230

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1700979861",
    "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": "554860112",
            "telephone_number": "651-220-6806",
            "fax_number": "651-220-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022346",
            "telephone_number": "651-220-6963",
            "fax_number": "651-220-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "BUNZLI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MGR ST.PAUL PHARMACY",
        "authorized_official_telephone_number": "651-220-6806",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "2619949",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090953000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048204",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Hospital and Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.