Arden Pharmacy & Gift

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

205474 Issued in MN

Legal business name

ARDEN PHARMACY & GIFT

Doing business as

Arden Pharmacy & Gift

Practice address

3529 Lexington Ave N
Arden Hills, MN 55126-8017

Phone

(651) 482-1250

Fax

(651) 482-0710

NPI assigned

Nov 16, 2006

Last updated

Mar 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald Johnson, RPHNPI 1689747628

Title

Pres

Phone

(651) 645-8636

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ARDEN PHARMACY & GIFT Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Bernard Johnson, RPH

  • Pharmacist
  • Saint Paul, MN
  • NPI 1689747628
  Authorized official Same address or phone

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1730252768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 LEXINGTON AVE N",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551268017",
            "telephone_number": "651-482-1250",
            "fax_number": "651-482-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 LEXINGTON AVE N",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551268017",
            "telephone_number": "651-482-1250",
            "fax_number": "651-482-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDEN PHARMACY & GIFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "651-645-8636",
        "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": "205474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "725557800A",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2413932",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARDEN PHARMACY & GIFT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Matthew Andrajack
• Alexis Anttila, MA, LMFT
• Nadira Arale
• Arden Glades Assisted Living LLC (Arden Glades Assisted Living)
• Arden Hills Ops, LLC (New Perspective - Arden Hills)
• Nicole M Arndt-Wenger, LICSW
• Lareesha Arnold
• Muno Ashiro
• Associated Speech and Language
• Lauryn Kay Bacon

• Community/Retail Pharmacy in Arden Hills, MN
• Providers in Arden Hills, 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 Mar 3, 2011; 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.