NPIMap

Organization Active NPI

Accredo Health Group Inc

  • Pharmacy
  • Eagan, MN
National Provider Identifier
1821048950
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
261914 Issued in MN
Legal business name
ACCREDO HEALTH GROUP INC
Practice address
2915 Waters Rd
Ste 109
Eagan, MN 55121-1562
Phone
(651) 681-0885
Fax
(651) 681-0977
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
Vic Perini
Title
Assistant Secretary
Phone
(314) 684-6273

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X 261914 MN Primary
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2915 Waters Rd
Ste 109
Eagan, MN 55121-1562

Mailing address

PO Box 954041
Saint Louis, MO 63195-0001
Phone (901) 381-7141

Other identifiers 7

IdentifierTypeStateIssuer
2046692OtherPK
8533810MedicaidSD
33226900MedicaidWI
21250ACMedicaidND
9166720MedicaidSD
279219200MedicaidMN
363613500MedicaidMN

Other names 1

  • ACCREDO HEALTH GROUP INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN3 enrollments
Home infusion therapy
Medicare-enrolled home infusion therapy supplier

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040415001183 MN Part B Supplier - Pharmacy 6901794007 Practice locations: Eagan, MN
O20100930026012 MN DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 6901794007 Practice locations: Eagan, MN
O20221216000740 MN Part B Supplier - Home Infusion Therapy Supplier 6901794007 Practice locations: Eagan, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Accredo Health Group Inc2915 Waters Rd, Eagan, MN 55121-1562(651) 681-0885 External Infusion Pumps and/or Supplies|Parenteral Nutrients|Parenteral Equipment and/or Supplies|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Dec 24, 2009

National Provider Directory

National Provider Directory
Tax ID family
Accredo Health Group in41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1821048950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954041",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631950001",
            "telephone_number": "901-381-7141",
            "fax_number": "901-261-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 WATERS RD",
            "address_2": "STE 109",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211562",
            "telephone_number": "651-681-0885",
            "fax_number": "651-681-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDO HEALTH GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "VIC",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "314-684-6273"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "261914",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2046692",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8533810",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33226900",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21250AC",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9166720",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279219200",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363613500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCREDO HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ACCREDO HEALTH GROUP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.