COBORNS INC (NPI# 1124684634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124684634 |
| Entity Type | Organization |
| Organization Name | COBORNS INC |
| Other Organization Name | COBORN'S CENTRAL SUPPORT PHARMACY #9942 |
| Practice Address |
110 1st St S Ste C Sauk Rapids MN 56379-1404 |
| Mailing Address |
Po Box 6146 Saint Cloud MN 56302-6146 |
| Practice Telephone | 3202028343 |
| Practice Fax Number | 3202028341 |
| Mailing Telephone | 3205342745 |
| Enumeration Date | 2019-05-10 |
| 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 | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 2434532 | 01 | |
| NPI | 1124684634 | 01 |
| Other Name | Type Code |
|---|---|
| Coborn's Central Support Pharmacy #9942 | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1921 Coborn Blvd, Pharmacy Office, Saint Cloud, MN 563016146 | 3205342745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 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 |
| 1003260969 | Coborns Inc | Durable Medical Equipment & Medical Supplies | 10514 Main St, Hayward, WI 54843-6720 | 2016-04-18 |
| 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 |
110 1ST ST S STE C |
| City | SAUK RAPIDS |
| State | MN |
| Zip Code | 56379-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366902116 | Tamara Jean Christopherson | Massage Therapist | 1000 South Benton Drive Suite 415, Sauk Rapids, MN 56379 | 2019-03-20 |
| 1144718594 | Jeanne Twohy Sopcinski | Registered Nurse | Independent Lifestyles, 215 North Benton Dr, Sauk Rapids, MN 56379 | 2018-05-01 |
| 1447748728 | Mamusu Lamin | Social Worker | Independent Life Styles, Inc, 215 N. Benton Drive, Sauk Rapids, MN 56379 | 2018-04-23 |
| 1518486570 | Mw Sauk Rapids Operating, LLC | Assisted Living Facility | 1325 Summit Avenue North, Sauk Rapids, MN 56379 | 2017-09-11 |
| 1942724505 | Ashley Ann Borth | Registered Nurse | 215 N Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2017-07-26 |
| 1568905115 | April May Richardson | Registered Nurse | 215 North Benton Drive, Independent Lifestyles, Inc, Sauk Rapids, MN 56379 | 2016-11-30 |
| 1841616877 | St. Cloud Hospital | Substance Abuse Rehabilitation Facility | 1495 10th Ave Ne, Sauk Rapids, MN 56379 | 2014-03-14 |
| 1811264575 | Pamela Berglund | Physical Therapist | 115 18th St Sw 209, Sauk Rapids, MN 56379 | 2011-11-23 |
| 1407141419 | Becky Ann Canon | Registered Nurse | 215 North Benton Dr, Independent Lifestyles Inc., Sauk Rapids, MN 56379 | 2011-06-17 |
| 1811100860 | Chris Matthew Mcgrew | Dentist | 22 2nd Av S, Sauk Rapids, MN 56379 | 2007-05-07 |
| Find all providers in zip 56379 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497279608 | Coborns Inc | Pharmacy | 110 1st St S Ste B, Sauk Rapids, MN 56379-1404 | 2017-07-29 |
| 1568732709 | Guardian Pharmacy of Minnesota LLC | Pharmacy | 940 Industrial Dr S, Suite 102, Sauk Rapids, MN 56379-1271 | 2012-01-05 |
| 1285137240 | Dragich & Dragich Inc | Pharmacy | 108 2nd Ave S, Sauk Rapids, MN 56379-1410 | 2018-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033276 | Nina Marie Kleinschmidt | Pharmacy | 1315 Minnesota Ave, Detroit Lakes, MN 56501-3913 | 2019-10-07 |
| 1659837698 | Bpoint Pharmacy Services Ltd | Pharmacy | 30833 North Star Dr, Suite 2, Breezy Point, MN 56472 | 2019-02-14 |
| 1477042372 | Sanford Clinic North | Pharmacy | 1611 Anne St Nw Ste 1, Bemidji, MN 56601-5114 | 2018-05-07 |
| 1295222909 | A & E Pharmacy LLC | Pharmacy | 1509 10th Ave S, Minneapolis, MN 55404-1754 | 2018-04-18 |
| 1215445085 | Genoa Healthcare LLC | Pharmacy | 8441 Wayzata Blvd, Suite 340, Golden Valley, MN 55426-1372 | 2018-01-16 |
| 1740711753 | Hennepin Healthcare System Inc | Pharmacy | 800 Washington Ave N Ste 190, Minneapolis, MN 55401-1330 | 2017-03-22 |
| 1568903532 | First Choice Pharmacy of Jordan PC | Pharmacy | 165 West Commerce Drive, Suite 110, Belle Plaine, MN 56011 | 2017-03-10 |
| 1013454545 | Genesis Recovery Services, LLC | Pharmacy | 5 N 3rd Ave W Ste 302, Duluth, MN 55802-1614 | 2017-01-23 |
| 1104360973 | Group Health Plan, Inc. | Pharmacy | 3800 Park Nicollet Blvd Ste 1170, St Louis Park, MN 55416-2527 | 2016-12-13 |
| 1417499120 | Healtheast St Josephs Hospital | Pharmacy | Gallery Professional Building Suite #150, 17 West Exchange Street, St Paul, MN 55102-1045 | 2016-11-11 |
| Find all providers with the same taxonomy | ||||
| City | SAUK RAPIDS |
| Zip Code | 56379 |
Please comment or provide details below to improve the information on COBORNS INC.
| 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.