NPIMap

Organization Active NPI

Minnesota Oncology Hematology PA

Doing business as MN Cancer Care Pharmacy

  • Community/Retail Pharmacy
  • Maple Grove, MN
National Provider Identifier
1811601123
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MINNESOTA ONCOLOGY HEMATOLOGY PA
Doing business as
MN Cancer Care Pharmacy
Practice address
10150 Niagara LN N
Ste 100
Maple Grove, MN 55369-7588
Phone
(763) 712-2100
Fax
(763) 712-2190
NPI assigned
Jan 11, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MINNESOTA ONCOLOGY HEMATOLOGY PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Authorized official

Name
Dr. Brian Martin Meger, PHARMDNPI 1730345380
Title
Pharmacy Manager
Phone
(651) 255-8480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

10150 Niagara LN N
Ste 100
Maple Grove, MN 55369-7588

Mailing address

2250 University Ave W
Suite 110-N
St. Paul, MN 55114
Phone (651) 602-5335

Other identifiers 1

IdentifierTypeStateIssuer
2157811-00MedicaidMN

Other names 1

  • MN Cancer Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minnesota Oncology Hematology PA26 organizations share this tax ID, including this one
Part of
Minnesota Oncology Hematology PA

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

6363 France Ave S
Ste 300
Edina, MN 55435
Phone (952) 928-2900

500 Osborne Rd NE
Ste 215
Fridley, MN 55432
Phone (763) 333-7733

10150 Niagara Ln N
#100
Maple Grove, MN 55369
Phone (763) 220-1316

800 E 28th St
Ste 405
Minneapolis, MN 55407
Phone (612) 863-8585

2805 Campus Dr
Ste 105
Plymouth, MN 55441
Phone (763) 519-7440

1866 Beam Ave
Saint Paul, MN 55109
Phone (651) 379-8310

2250 University Ave W
Ste 110N
Saint Paul, MN 55114

310 Smith Ave N
Ste 480
Saint Paul, MN 55102
Phone (651) 220-6258

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1875 Woodwinds Dr
Ste 130
Woodbury, MN 55125
Phone (651) 232-0500

Practitioners & affiliated clinicians

Practitioners 152

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.

View all 152

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1811601123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 UNIVERSITY AVE W",
            "address_2": "SUITE 110-N",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55114",
            "telephone_number": "651-602-5335",
            "fax_number": "651-602-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 NIAGARA LN N",
            "address_2": "STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697588",
            "telephone_number": "763-712-2100",
            "fax_number": "763-712-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA ONCOLOGY HEMATOLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNESOTA ONCOLOGY HEMATOLOGY PA",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "MEGER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "651-255-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157811-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MN Cancer Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.