Organization Active NPI

Robbinsdale Pharmacy Inc

  • Community/Retail Pharmacy
  • Robbinsdale, MN
National Provider Identifier
1902520075
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ROBBINSDALE PHARMACY INC
Practice address
4080 W Broadway Ave # 145
Robbinsdale, MN 55422-5604
Phone
(612) 814-3271
Fax
(612) 259-7362
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Ahmed A MussaNPI 1316543465
Title
Ceo
Phone
(612) 814-3271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

4080 W Broadway Ave # 145
Robbinsdale, MN 55422-5604

Mailing address

2740 Minnehaha Ave # 130-32
Minneapolis, MN 55406-1542
Phone (612) 814-3271

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL robbinsdalepharmacy@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

4080 W Broadway Ave
#145
Robbinsdale, MN 55422
Phone (612) 814-3271

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1902520075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 MINNEHAHA AVE # 130-32",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061542",
            "telephone_number": "612-814-3271",
            "fax_number": "612-259-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 W BROADWAY AVE # 145",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554225604",
            "telephone_number": "612-814-3271",
            "fax_number": "612-259-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBINSDALE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "MUSSA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-814-3271"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "robbinsdalepharmacy@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4080 W Broadway Ave # 145",
            "city": "Robbinsdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554225604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.