D.W.Koski,Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

D.W.KOSKI,INC.

Doing business as

Medicine Shoppe Pharmacy

Practice address

750 Main St
Suite 103
Mendota Heights, MN 55118-3764

Phone

(651) 455-6873

Fax

(651) 451-7997

NPI assigned

Oct 21, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel William Koski, R.PH.NPI 1508856527

Title

President

Phone

(651) 455-6873

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Pharmacy Doing business as

Locations

Practitioners 1

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.

• Daniel William Koski, R.PH.

  • Pharmacist
  • Mendota Heights, MN
  • NPI 1508856527
  NPD (past) Authorized official

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1871583898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 103",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183764",
            "telephone_number": "651-455-6873",
            "fax_number": "651-451-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "address_2": "SUITE 103",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183764",
            "telephone_number": "651-455-6873",
            "fax_number": "651-451-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.W.KOSKI,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KOSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-455-6873",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "2612218",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "2421460",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693516800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Sue Cowan, MSW
• Bradley Winter Cox
• Sarah Jean Cox, MSW, LICSW
• Quantell Crawford
• Jarod Gage Crum
• Layla Patrice Dabre
• Muna Mohamud Dahir
• Raqiyo Abdirahman Dahir
• Amber Dahl
• Lydia Dorothy Dahlager

• Community/Retail Pharmacy in Mendota Heights, MN
• Providers in Mendota Heights, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.