Target Corporation and Subsidiaries

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5411859 Issued in IL

Legal business name

TARGET CORPORATION AND SUBSIDIARIES

Doing business as

TARGET PHARMACY

Practice address

999 W Main St
West Dundee, IL 60118-2059

Phone

(847) 836-1070

Fax

(847) 783-1039

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Robyn Stortroen

Title

Healthcare Enrollment Specialist

Phone

(612) 696-8311

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• TARGET PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1881616696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NICOLLET MALL # 1795",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 W MAIN ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182059",
            "telephone_number": "847-836-1070",
            "fax_number": "847-783-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION AND SUBSIDIARIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "STORTROEN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "HEALTHCARE ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "612-696-8311"
    },
    "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": "IL",
            "license": "5411859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2022353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TARGET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael L. Strasser, OD
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• Sofia N Syed, O.D.
• Jill Marie Tabone, MA, CCC/SLP
• Shah Noor Tariq
• Shanna Clair Thomas, LCSW
• Titan Medical Associates LTD.
• David V. Trandel, PH.D.
• Thomas M Troutman, OD

• Community/Retail Pharmacy in West Dundee, IL
• Providers in West Dundee, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.