Active NPI
Coborns Inc
- Community/Retail Pharmacy
- Buffalo, MN
National Provider Identifier
1902480650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COBORNS INC
- Practice address
- 630 Ryans Way
Buffalo, MN 55313-4527 - Phone
- (763) 330-0900
- Fax
- (855) 302-4734
- NPI assigned
- May 10, 2021
- Last updated
- Dec 8, 2025
- Organization subpart
- Yes
- Parent organization
- COBORNS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Pickler
- Title
- Director of Pharmacy
- Phone
- (320) 251-5505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
630 Ryans Way
Buffalo, MN 55313-4527
Mailing address
PO Box 6146
Saint Cloud, MN 56302-6146
Phone (320) 251-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220328001325 | MN | DME Supplier - Pharmacy | 3072416593 | Practice locations: Buffalo, MN |
| O20220713003492 | MN | Part B Supplier - Mass Immunization (Roster Biller Only) | 3072416593 | Practice locations: Buffalo, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Coborn's Pharmacy #2048 | Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Coborn's Pharmacy Service
- Part of
- Coborn's Pharmacy Service
Other organizations with this tax ID 37
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Coborn's Central Support Pharmacy #9942
- Community/Retail Pharmacy
- Sauk Rapids, MN
- NPI 1124684634
-
dba Coborn's Clinic Pharmacy # 2017
- Health Maintenance Organization
- Mora, MN
- NPI 1194101766
Locations
630 Ryans Way
Buffalo, MN 55313
Phone (763) 330-0900
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1902480650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6146",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563026146",
"telephone_number": "320-251-5505",
"fax_number": "320-203-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 RYANS WAY",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553134527",
"telephone_number": "763-330-0900",
"fax_number": "855-302-4734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COBORNS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COBORNS INC",
"enumeration_date": "2021-05-10",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A",
"authorized_official_last_name": "PICKLER",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
"authorized_official_telephone_number": "320-251-5505"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.