METHODIST HOSPITAL (NPI# 1093738957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093738957 |
| Entity Type | Organization |
| Organization Name | METHODIST HOSPITAL |
| Other Organization Name | METHODIST HOSPITAL PHARMACY |
| Practice Address |
6500 Excelsior Blvd St Louis Park MN 55426-4702 |
| Mailing Address |
8170 33rd Ave S Ms 21111b Bloomington MN 55425-4516 |
| Practice Telephone | 9529936016 |
| Practice Fax Number | 9529936303 |
| Mailing Telephone | 9529933804 |
| Mailing Fax Number | 9529676667 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | DAVID BUSCH (VICE PRESIDENT, PHARMACY OPERATIONS) |
| Authorized Official Telephone | 9529675049 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
200304 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 897017300 | 05 | |
| PK | 2045768 | 01 |
| Other Name | Type Code |
|---|---|
| METHODIST HOSPITAL PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134297393 | Methodist Hospital | General Acute Care Hospital | 2301 South Broad, Broad and Wolf Streets, Philadelphia, PA 19145 | 2006-12-04 |
| 1225383524 | Methodist Hospital | General Acute Care Hospital | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2012-07-23 |
| 1497939201 | Methodist Hospital | General Acute Care Hospital | 7500 Hospital Dr, Sacramento, CA 95823-5403 | 2007-12-28 |
| 1174667232 | Methodist Hospital | Clinic/Center | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2007-02-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | METHODIST HOSPITAL | 7700 Floyd Curl Dr, San Antonio, TX 78229-3979 |
| Indiana Business Entities | METHODIST HOSPITAL ORTHOPAEDICS PC | 8450 Northwest Blvd., Indianapolis, IN 46278 |
| New York State Corporations | METHODIST HOSPITAL PHYSICIANS ORGANIZATION, INC. | 506 Sixth Street, Brooklyn, Ny 11215 |
| System for Award Management (SAM) Entities | METHODIST HOSPITAL RESEARCH INSTITUTE, THE | 6670 Bertner Ave, Houston, TX 77030-2602 |
| System for Award Management (SAM) Entities | METHODIST HOSPITAL SYSTEM, THE | 6565 Fannin St, Houston, TX 77030-2703 |
| System for Award Management (SAM) Entities | METHODIST HOSPITALS OF DALLAS | 401 W Campbell Road, Richardson, TX 75080-3416 |
| Indiana Business Entities | METHODIST HOSPITALS PATHOLOGY, LLC | 600 Grant Street, Gary, IN 46402 |
| Street Address |
6500 EXCELSIOR BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-4702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484669 | Robert E Haselow | Radiology | 6500 Excelsior Blvd, Methodist Radiation Therapy, St Louis Park, MN 55426-4702 | 2005-08-17 |
| 1215549381 | Katelyn Boys | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-08-20 |
| 1386253466 | Christine Harlander | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2020-07-24 |
| 1063021210 | Ian-thomas Campbell-groen | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2020-07-23 |
| 1619585387 | Kelly Faber | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-07-20 |
| 1952938821 | Paige Rygg | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-03-23 |
| 1801427406 | Brandi Jo St. Mane | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-02-01 |
| 1811528680 | Brian Servey IIi | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-01-30 |
| 1245873421 | Weston Poucher | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2019-10-21 |
| 1427609973 | Lauren Damrow | Registered Nurse | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902196504 | Northfield Hospital | Pharmacy | 2000 North Ave, Northfield, MN 55057-1498 | 2011-04-15 |
| 1477872703 | Meritcare Wheaton Medical Center | Pharmacy | 401 12th St N, Wheaton, MN 56296-1070 | 2010-05-26 |
| 1659533362 | Regions Hospital Inpatient Pharmacy | Pharmacy | 640 Jackson St, Saint Paul, MN 55101-2502 | 2008-06-25 |
| 1235304130 | Fairview Health Svc | Pharmacy | 5200 Fairview Blvd, Wyoming, MN 55092-8013 | 2008-04-23 |
| 1083804876 | Mayo Clinic Hospital-rochester | Pharmacy | 201 W Center St, Rochester, MN 55902-3003 | 2007-07-27 |
| 1194915983 | Mayo Clinic Hospital-rochester | Pharmacy | 1216 2nd St Sw, Rochester, MN 55902-1906 | 2007-07-27 |
| 1205054590 | Tri-county Hospital Pharmacy | Pharmacy | 415 Jefferson St N, Wadena, MN 56482-1264 | 2007-04-23 |
| 1063564144 | Sanford Medical Center Thief River Falls | Pharmacy | 120 Labree Ave S, Thief River Falls, MN 56701-2819 | 2007-01-17 |
| 1265581029 | St Joseph's Medical Center | Pharmacy | 523 N 3rd St, Brainerd, MN 56401-3054 | 2007-01-10 |
| 1386758373 | Gillette Children's Hospital | Pharmacy | 200 University Ave E, Saint Paul, MN 55101-2507 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on METHODIST HOSPITAL.
| 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.