PREFERRED CHOICE PHARMACY (NPI# 1003947102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003947102 |
| Entity Type | Organization |
| Organization Name | PREFERRED CHOICE PHARMACY |
| Practice Address |
900 Long Lake Rd Ste 150 New Brighton MN 55112-6428 |
| Practice Telephone | 6516363919 |
| Practice Fax Number | 6515820290 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | JEFFREY PROSCH (PRESIDENT) |
| Authorized Official Telephone | 6515820286 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
262161 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2425090 | 01 | |
| OTHER ID NUMBER | 2425090 | 01 |
| Street Address |
900 LONG LAKE RD STE 150 |
| City | NEW BRIGHTON |
| State | MN |
| Zip Code | 55112-6428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841200698 | Loren Paul Hubin | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-08-08 |
| 1780206888 | Stacy Smith Donley | Marriage & Family Therapist | 900 Long Lake Rd, New Brighton, MN 55112-6428 | 2020-05-12 |
| 1225580897 | Jordan Lindh, Psy.d., Lp L.L.C. | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2016-10-31 |
| 1831566991 | Laura Stephan | Psychologist | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6428 | 2015-08-25 |
| 1760866271 | Jessica Davis | Psychologist | 900 Long Lake Rd, Suite 160, New Brighton, MN 55112-6428 | 2015-07-14 |
| 1902232549 | Jordan Lindh | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2013-09-14 |
| 1558646836 | Julia E Kidwell | Psychologist | 900 Long Lake Rd, Suite #320, New Brighton, MN 55112-6428 | 2011-10-18 |
| 1033276753 | Charles Richmond | Marriage & Family Therapist | 900 Long Lake Rd, Suite 320 Arden Woods Psychological Services, New Brighton, MN 55112-6428 | 2007-01-02 |
| 1083778708 | Medical Care Services, Pa | Family Medicine | 900 Long Lake Rd, Ste 106, New Brighton, MN 55112-6414 | 2006-12-20 |
| 1669576278 | Arden Woods Psychological Services Pa | Psychologist | 900 Long Lake Rd, Suite 320, New Brighton, MN 55112-6428 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841247400 | Merwin Long Term Care, Inc. | Pharmacy | 1811 Old Highway 8 Nw, Suite B, New Brighton, MN 55112-1828 | 2006-05-28 |
| 1942764071 | T E P Inc | Pharmacy | 525 5th Ave, New Brighton, PA 15066-1737 | 2019-01-23 |
| 1114911302 | T E P Inc | Pharmacy | 525 5th Ave, New Brighton, PA 15066-1737 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544822 | Rolseth Drug Co | Pharmacy | 26709 Forest Blvd, Wyoming, MN 55092-8022 | 2020-06-29 |
| 1962037242 | United Community Pharmacy Corporation | Pharmacy | 2500 Highway 88 Ste 105, St Anthony, MN 55418-4138 | 2020-03-07 |
| 1629613005 | Lotus Ltc Pharmacy, LLC | Pharmacy | 9850 51st Ave N Ste 102, Plymouth, MN 55442-3271 | 2019-11-09 |
| 1720541337 | Ltc Prescription Providers #2 | Pharmacy | 220 1/2 Third Avenue, Proctor, MN 55810 | 2019-04-10 |
| 1639634710 | Lewis Family Drug, LLC | Pharmacy | 1105 13th Ave S, Saint James, MN 56081 | 2019-02-04 |
| 1033680046 | Brainerd Medical Center Inc | Pharmacy | 280 Barclay Ave W, Ste 1100, Pine River, MN 56474 | 2018-12-17 |
| 1457832909 | Black Forest Pharmacy Services Ltd | Pharmacy | 108 S 6th St Ste 1, Brainerd, MN 56401-3594 | 2018-08-23 |
| 1467932905 | Watertown Pharmacy LLC | Pharmacy | 204 Lewis Ave S Ste 101, Watertown, MN 55388-4501 | 2018-08-15 |
| 1942702394 | Polaris Pharmacy Services of Minnesota, LLC | Pharmacy | 4220 Park Glen Road, St. Louis Park, MN 55416 | 2018-03-01 |
| 1346757457 | Twin Valley Pharmacy LLC | Pharmacy | 108 Viking Ave W., Ulen, MN 56585 | 2018-01-10 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRIGHTON |
| Zip Code | 55112 |
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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.