COBORNS INC (NPI# 1003260969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003260969 |
| Entity Type | Organization |
| Organization Name | COBORNS INC |
| Other Organization Name | MARKETPLACE PHARMACY #2583 |
| Practice Address |
10514 Main St Hayward WI 54843-6720 |
| Mailing Address |
Po Box 6146 Pharmacy Office Saint Cloud MN 56302-6146 |
| Practice Telephone | 7156341817 |
| Practice Fax Number | 8553044787 |
| Mailing Telephone | 3205342745 |
| Mailing Fax Number | 3202031095 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | LYNN R YOUNG (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 3205342743 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | COBORNS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
9403-42 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1000056023 | 05 | |
| PK | 2159610 | 01 |
| Other Name | Type Code |
|---|---|
| MARKETPLACE PHARMACY #2583 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1124684634 | Coborns Inc | Pharmacy | 110 1st St S Ste C, Sauk Rapids, MN 56379-1404 | 2019-05-10 |
| 1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
| 1144676370 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 209 6th Ave Ne, Isanti, MN 55040-3220 | 2016-05-06 |
| 1982968640 | Coborns Inc | Pharmacy | 1106 8th St Sw, Pipestone, MN 56164-1078 | 2012-06-27 |
| 1396067468 | Coborns Inc | Pharmacy | 250 33rd Ave S, Saint Cloud, MN 56301-6131 | 2010-02-17 |
| 1952623076 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 1001 4th St Se, Saint Cloud, MN 56304-1297 | 2010-02-16 |
| 1811133895 | Coborns Inc | Pharmacy | 1500 Elm St E, Saint Joseph, MN 56374-4695 | 2008-12-23 |
| 1033384102 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 200 Alton Ave Se, New Prague, MN 56071-5507 | 2008-04-29 |
| 1447447644 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 225 33rd St W, Hastings, MN 55033-4512 | 2007-10-02 |
| Street Address |
10514 MAIN ST |
| City | HAYWARD |
| State | WI |
| Zip Code | 54843-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011252 | Kelsey Eickstaedt | Pharmacist | 15594 State Hwy 77, Hayward, WI 54843 | 2020-10-20 |
| 1245687417 | Gary Girard | Counselor | 15655 W County Hwy B, Hayward, WI 54843 | 2016-05-18 |
| 1164844379 | Elizabeth Anne Johnson | Counselor | 10594 Main Street #1021, Hayward, WI 54843 | 2014-01-08 |
| 1376776922 | Amy Marilyn Billman | Massage Therapist | 11128n Highway 27/77, Hayward, WI 54843 | 2009-08-31 |
| 1700016516 | Kyra Rhodes Larson | Dentist | 15541w Hwy 77 East, Hayward, WI 54843 | 2009-07-15 |
| 1235383985 | Sara Jane Drost | Dental Hygienist | 15910 W Company Lake Road, Hayward, WI 54843 | 2008-11-07 |
| 1982856076 | Align Therapy,llc | In Home Supportive Care | 10767 Nyman Avenue, Hayward, WI 54843 | 2008-10-21 |
| 1316112477 | Michael John Larson | Hearing Instrument Specialist | 15612 Windrose Lane, #200, Hayward, WI 54843 | 2008-04-29 |
| 1679748966 | Gwendolyn Vinopal | Physical Therapist | 16014w Sleepy Hollow Drive, Hayward, WI 54843 | 2008-04-28 |
| 1558546523 | Ruth Anne Gillmor | Social Worker | 10610 Main, Hayward, WI 54843 | 2008-01-08 |
| Find all providers in zip 54843 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1265874747 | Pleasant Care Pharmacy | Pharmacy | 1652 B St, Hayward, CA 94541-3020 | 2013-07-24 |
| 1578896809 | Costco Wholesale Corporation | Pharmacy | 28505 Hesperian Blvd, Hayward, CA 94545 | 2009-09-18 |
| 1346385234 | Save Mart Supermarkets | Pharmacy | 22555 Mission Bvld, Hayward, CA 94541 | 2007-02-20 |
| 1376691972 | Kaiser Foundation Health Plan Inc | Pharmacy | 27303 Sleepy Hollow Ave S, Hayward, CA 94545-4203 | 2007-01-08 |
| 1902989536 | Garfield Beach Cvs LLC | Pharmacy | 19661 Hesperian Blvd, Hayward, CA 94541-4200 | 2006-10-24 |
| 1518909332 | Longs Drug Stores California LLC | Pharmacy | 243 W Jackson St, Hayward, CA 94544-1811 | 2006-06-13 |
| 1760425599 | Longs Drug Stores California LLC | Pharmacy | 22501 Foothill Blvd, Hayward, CA 94541-4109 | 2006-06-13 |
| 1457341299 | Mission Pharmacy | Pharmacy | 22138 Mission Blvd, Hayward, CA 94541-2645 | 2005-10-24 |
| 1447676663 | Nu Quantum Corporation | Pharmacy | 589 W Tennyson Rd, Hayward, CA 94544-5233 | 2014-03-12 |
| Find all providers in HAYWARD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.