MINNESOTA DRUG ACQUISITION CO LLC (NPI# 1164653317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164653317 |
| Entity Type | Organization |
| Organization Name | MINNESOTA DRUG ACQUISITION CO LLC |
| Other Organization Name | KEAVENY LTC PHARMACY #210 |
| Practice Address |
201 Broadway Ave S Cokato MN 55321-4681 |
| Mailing Address |
Po Box 550 Cokato MN 55321-0550 |
| Practice Telephone | 3202865129 |
| Practice Fax Number | 3202865434 |
| Mailing Telephone | 3202865129 |
| Mailing Fax Number | 3202865434 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2013-03-14 |
| Authorized Official Name | DEBORAH KEAVENY (PREIDENT) |
| Authorized Official Telephone | 6122277811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
263430 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2429858 | 01 | |
| MN | 116453317 | 05 |
| Other Name | Type Code |
|---|---|
| Keaveny LTC Pharmacy #210 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700895760 | Minnesota Drug Acquisition Co LLC | Pharmacy | 103 E 2nd St, Winthrop, MN 55396 | 2006-08-07 |
| 1093883605 | Minnesota Drug Acquisition Co LLC | Pharmacy | 207 Main St, Pierz, MN 56364 | 2006-12-01 |
| Street Address |
201 BROADWAY AVE S |
| City | COKATO |
| State | MN |
| Zip Code | 55321-4681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982162228 | Michael Jeffery Kieke | Social Worker | 13637 60th Street Southwest, Cokato, MN 55321 | 2019-03-06 |
| 1992181366 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 145 Broadway Ave N, Cokato, MN 55321 | 2015-08-07 |
| 1881806552 | Charger Chiropractic & Soft Tissue Center P.C. | Chiropractor | 450 4th Street North, Dassel, MN 55321 | 2007-05-04 |
| 1215027479 | William Russell Fiedler | Dentist | 115 Olsen Blvd, Suite 200, Cokato, MN 55321 | 2006-10-16 |
| 1447260567 | David Gene Nesseth | Chiropractor | 235 Broadway Ave South, Cokato, MN 55321 | 2006-08-09 |
| 1023071818 | City of Cokato | Ambulance | 255 Broadway Ave S, Cokato, MN 55321 | 2006-04-11 |
| 1861765323 | Christine Frances Morris | Marriage & Family Therapist | 13637 60th St Sw, Cokato, MN 55321 | 2012-02-14 |
| 1194007914 | Michelle Lea Kraushaar Campbell | Marriage & Family Therapist | 13637 60th St Sw, Cokato, MN 55321 | 2011-09-19 |
| 1245441260 | Angela Ruth Meredith | Specialist | 235 Broadway Ave S, Cokato, MN 55321 | 2007-05-24 |
| 1245303825 | Cokato Eye Center | Optometrist | 115 Olsen Blvd, Cokato, MN 55321 | 2006-11-15 |
| Find all providers in zip 55321 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.