Active NPI
Chanhassen Center Drug
- Community/Retail Pharmacy
- Chaska, MN
National Provider Identifier
1891807897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 2625522
- Legal business name
- CHANHASSEN CENTER DRUG
- Doing business as
- Chanhassen Center Drug
- Practice address
- 111 Hundertmark Rd Ste 100
Chaska, MN 55318-1194 - Phone
- (952) 949-1002
- Fax
- (952) 949-0233
- NPI assigned
- Aug 31, 2006
- Last updated
- Jan 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bruce Anderson
- Title
- RPH
- Phone
- (952) 949-1002
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | 2625522 | MN | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
111 Hundertmark Rd Ste 100
Chaska, MN 55318-1194
Mailing address
111 Hundertmark Rd
Suite 100
Chaska, MN 55318-4551
Phone (952) 949-1002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099560600 | Medicaid | MN | |
| 2046933 | Other | PK |
Other names 1
- CHANHASSEN CENTER DRUG
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Pharmacist
- Hopkins, MN
- NPI 1548852056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1891807897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HUNDERTMARK RD",
"address_2": "SUITE 100",
"city": "CHASKA",
"state": "MN",
"postal_code": "553184551",
"telephone_number": "952-949-1002",
"fax_number": "952-949-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HUNDERTMARK RD STE 100",
"city": "CHASKA",
"state": "MN",
"postal_code": "553181194",
"telephone_number": "952-949-1002",
"fax_number": "952-949-0233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANHASSEN CENTER DRUG",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "952-949-1002"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MN",
"license": "2625522",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099560600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2046933",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHANHASSEN CENTER DRUG",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chaska, MN
- Armani S Cartlidge, MA, LPCC
- Carver County (Carver County Public Health)
- Carver County (Carver County Health and Human Services)
- Emma Cavanaugh-Johnson
- Vanessa Centeno
- Chaska Center Drug, PC (Center Drug)
- Chaska Chiropractic & Wellness PLLC
- Chaska Commons Dental Group PC (Chaska Commons Dental Group)
- Chaska Counseling and Guidance, LLC
- Chaska Dental Center, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.