Organization Active NPI

Target Corporation and Subsidiaries

Doing business as Target Pharmacy

  • Community/Retail Pharmacy
  • Bedford, OH
National Provider Identifier
1780606582
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2842350 Issued in OH
Legal business name
TARGET CORPORATION AND SUBSIDIARIES
Doing business as
Target Pharmacy
Practice address
22735 Rockside Rd
Bedford, OH 44146-1512
Phone
(440) 232-2398
Fax
(440) 232-2398
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Paula Ekeren
Title
Managed Care Administrator
Phone
(612) 696-2262

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2842350 OH Primary

Addresses

Primary practice location

22735 Rockside Rd
Bedford, OH 44146-1512

Mailing address

1000 Nicollet Mall # 0910
Minneapolis, MN 55403-2542

Other identifiers 2

IdentifierTypeStateIssuer
0162452MedicaidOH
3661293OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • TARGET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Nicollet Mall
#910
Minneapolis, MN 55403

22735 Rockside Rd
Bedford, OH 44146
Phone (440) 232-2398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1780606582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL # 0910",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22735 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441461512",
            "telephone_number": "440-232-2398",
            "fax_number": "440-232-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "EKEREN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "MANAGED CARE ADMINISTRATOR",
        "authorized_official_telephone_number": "612-696-2262"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "2842350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162452",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3661293",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.