DEREK DOUGLAS BORKOWSKI (NPI# 1063994085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063994085 |
| Entity Type | Individual |
| Full Name | DEREK DOUGLAS BORKOWSKI |
| Credential | PHARMD, RPH |
| Practice Address |
2610 Central Ave Ne Minneapolis MN 55418-2911 |
| Mailing Address |
10 2nd St Se Unit 215 Minneapolis MN 55414-4477 |
| Practice Telephone | 6127896251 |
| Mailing Telephone | 5074293707 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 123851 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PHARMACIST LICENSE | 123851 | 01 |
| Street Address |
2610 CENTRAL AVE NE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55418-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554836 | Tamra L Johnston | Family Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2005-11-07 |
| 1740894526 | Kelsey Narlock | Pharmacist | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2020-08-31 |
| 1548873532 | Mohamed Sheikh Ahmed | Pharmacist | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2020-08-28 |
| 1568855054 | Carly Curry | Nurse Practitioner | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2015-03-09 |
| 1598199366 | Eric Andrew Smith | Physician Assistant | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2013-08-28 |
| 1851306161 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-07-29 |
| 1275574436 | Allison Stolz | Family Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-06-09 |
| 1740237189 | Mrudula Jakkula | Internal Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-05-30 |
| 1215990270 | Ronald James Jankowski | Family Medicine | 2610 Central Ave Ne, Minneapolis, MN 55418-2911 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| Find all providers in zip 55418 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302426 | Jacob Hansen | Pharmacist | 711 Kasota Ave Se Ste A, Minneapolis, MN 55414-2842 | 2020-10-07 |
| 1871106211 | Victor Tam | Pharmacist | 6411 Newton Ave S, Minneapolis, MN 55423-1115 | 2020-08-25 |
| 1689286221 | Hoa Bui | Pharmacist | 4547 Hiawatha, Minneapolis, MN 55406 | 2020-08-17 |
| 1942818711 | Danielle Morgan | Pharmacist | 2525 Chicago Ave Ste 32-1667, Minneapolis, MN 55404-4518 | 2020-07-17 |
| 1407477748 | Amy Anderson | Pharmacist | 2101 Kennedy St Ne, Minneapolis, MN 55413-2606 | 2020-04-28 |
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1093335630 | Emebeat A Tibebu | Pharmacist | 818 Washington Ave Se, Minneapolis, MN 55414-3035 | 2020-04-23 |
| 1922634252 | Nkuti Ndely | Pharmacist | 1300 W Lake St, Minneapolis, MN 55408-7200 | 2020-03-18 |
| 1174170229 | Rebeca Reyes Salaman | Pharmacist | 4555 Upton Ave N, Minneapolis, MN 55412-1047 | 2019-08-23 |
| 1003462540 | Louise Ballam Peterson | Pharmacist | 2801 Nicollet Ave, Minneapolis, MN 55408-2329 | 2019-08-12 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55418 |
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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.