COBORNS INC (NPI# 1144676370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144676370 |
| Entity Type | Organization |
| Organization Name | COBORNS INC |
| Other Organization Name | COBORN'S PHARMACY #2046 |
| Practice Address |
209 6th Ave Ne Isanti MN 55040-3220 |
| Mailing Address |
1921 Coborn Blvd Po Box 6146 Saint Cloud MN 56301-2100 |
| Practice Telephone | 8449050005 |
| Practice Fax Number | 8553024731 |
| Mailing Telephone | 3202515505 |
| Mailing Fax Number | 3202031095 |
| Enumeration Date | 2016-05-06 |
| 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 |
265103 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1144676370 | 01 | |
| PK | 2159714 | 01 | |
| DEA | FC6220658 | 01 | |
| NCPCP | 2433150 | 01 | |
| MN | 1144676370 | 05 |
| Other Name | Type Code |
|---|---|
| Coborn's Pharmacy #2046 | 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 |
| 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 |
209 6TH AVE NE |
| City | ISANTI |
| State | MN |
| Zip Code | 55040-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780182444 | Tiffany Vanhaaften | Physical Therapist | 300 5th Ave Sw, Isanti, MN 55040 | 2018-01-29 |
| 1023542719 | Daniel Ernest Woodfill | Contractor | 22145 Durant St. N.e., Isanti, MN 55040 | 2017-04-19 |
| 1881917110 | Ehlan H Thompson | Marriage & Family Therapist | 904 6th Avenue Ct Ne, Isanti, MN 55040 | 2010-03-01 |
| 1063649622 | Joel C Demaris | Physical Therapist | 2 Enterprise Avenue, Suite E4, Isanti, MN 55040 | 2009-06-22 |
| 1568673101 | Paul Michael Bergley | Chiropractor | 711 6th Ave Ne, Suite #1, Isanti, MN 55040 | 2007-05-25 |
| 1962562975 | Isd 15 St. Francis Public Schools | Local Education Agency (LEA) | 4115 Ambassador Blvd Nw, St. Francis, MN 55040 | 2006-12-11 |
| 1619050325 | Gary Albert Bohnen | Chiropractor | 401 East Dual Blvd, Bohnen Chiropractic Center Pa, Isanti, MN 55040 | 2006-10-24 |
| 1356422760 | Kathryn L Schesso | Marriage & Family Therapist | 401 E Dual Blvd Ste 120, Isanti, MN 55040 | 2006-10-18 |
| 1619386679 | Jacquelyn Austin | Speech-Language Pathologist | 904 6th Avenue Ct Ne, Isanti, MN 55040 | 2014-08-04 |
| 1285058164 | Jacqueline Bleess | Counselor | 105 West Main Street, Isanti, MN 55040 | 2014-02-12 |
| Find all providers in zip 55040 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
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.