Active NPI
Target Corporation and Subsidiaries
Doing business as Target Pharmacy
- Community/Retail Pharmacy
- Bedford, OH
National Provider Identifier
1780606582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2842350
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0162452 | Medicaid | OH | |
| 3661293 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- TARGET PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Bedford, OH
- NPI 1942537006
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.