Allina Health System
Organization Active NPI Community/Retail Pharmacy · Shakopee, MN
NPI 1780094698 · NPPES record last updated Feb 25, 2025
Key facts
- NPI
- 1780094698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- ALLINA HEALTH SYSTEM
- Practice address
- 1455 Saint Francis Ave
Ste. 100
Shakopee, MN 55379-3374 - Phone
- (952) 428-5100
- Fax
- (952) 428-5150
- NPI assigned
- Apr 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Ann E Byre
- Title
- Vice President Pharmacy
- Phone
- (612) 262-5992
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| St Francis Regional Medical Center |
Hospital | 5% Or Greater Direct Ownership Interest (47.5%) | Nov 15, 2007 |
| Courage Kenny Rehabilitation Institute TRP |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control |
Jun 1, 2013 Jun 1, 2013 |
| Allina Health Restorative Suites |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) | Nov 10, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180208000862 | MN | DME Supplier - Pharmacy | 4587573613 | Practice locations: Shakopee, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | Yes | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1455 Saint Francis Ave
Ste. 100
Shakopee, MN 55379-3374
Mailing address
PO Box 43
Mail Route 10585
Minneapolis, MN 55440-0043
Phone (612) 262-1166
Other names
- Allina Health St. Francis Pharmacy
Other providers in Shakopee, MN
- All Eyes PLLC
- Susan M Allen
- Allina Health System
- Allina Health System
- Allina Health System
- America'S Best Contacts & Eyeglasses
- American Current Care of Minnesota PC
- American Rehab Services
- Annmarie Elizabeth Anderson
- Duncan E Anderson
All providers in Shakopee, MN · Community/Retail Pharmacy in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.