Organization Active NPI

Value Pharmacy LLC

  • Community/Retail Pharmacy
  • Minneapolis, MN
National Provider Identifier
1851843478
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
265186 Issued in MN
Legal business name
VALUE PHARMACY LLC
Doing business as
VALUE PHARMACY
Practice address
1839 Nicollet Ave
Minneapolis, MN 55403-3745
Phone
(612) 886-3480
Fax
(612) 886-3471
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Mohamed Osman
Title
Owner
Phone
(612) 804-6880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 265186 MN Primary

Addresses

Primary practice location

1839 Nicollet Ave
Minneapolis, MN 55403-3745

Mailing address

PO Box 50522
Minneapolis, MN 55405-0522
Phone (612) 886-3480

Other identifiers 2

IdentifierTypeStateIssuer
2165909OtherPK
1851843478MedicaidMN

Other names 1

  • VALUE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1839 Nicollet Ave
Minneapolis, MN 55403
Phone (612) 823-2947

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": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1851843478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50522",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554050522",
            "telephone_number": "612-886-3480",
            "fax_number": "612-886-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033745",
            "telephone_number": "612-886-3480",
            "fax_number": "612-886-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALUE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-804-6880"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "265186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2165909",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851843478",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.