NORTH MEMORIAL PHARMACY MAPLE GROVE (NPI# 1548560535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548560535 |
| Entity Type | Organization |
| Organization Name | NORTH MEMORIAL PHARMACY MAPLE GROVE |
| Other Organization Name | NORTH MEMORIAL HEALTH PHARMACY - MAPLE GROVE |
| Practice Address |
9825 Hospital Drive Suite 100 Maple Grove MN 55369-4479 |
| Practice Telephone | 7635819200 |
| Practice Fax Number | 7335819205 |
| Mailing Telephone | 7635819200 |
| Mailing Fax Number | 7635819205 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | DAN FROMM (VP, CFO) |
| Authorized Official Telephone | 7635814614 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH MEMORIAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
263560 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE LICENSE | 263560 | 01 |
| Other Name | Type Code |
|---|---|
| North Memorial Health Pharmacy - Maple Grove | Doing Business As Name - Organization |
| Street Address |
9825 HOSPITAL DRIVE SUITE 100 |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457307191 | Karen L Collins | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2006-05-25 |
| 1013463876 | Katherine Lynn Awoyinka | Audiologist | 9825 Hospital Drive, Suite Ll-10, Maple Grove, MN 55369-4819 | 2016-08-31 |
| 1477966349 | Caitlin Sue Burk | Physician Assistant | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2014-06-08 |
| 1033521059 | Caitlin Ruth Kuck | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2014-05-25 |
| 1487094363 | Rebecca Katherine Mullin | Podiatrist | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2013-06-25 |
| 1558624171 | Sarah Kathleen Tillman | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2012-06-19 |
| 1083904049 | Jacinda Elyse Siberio | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2011-04-12 |
| 1114216355 | Megan G Bina | Obstetrics & Gynecology | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2011-03-28 |
| 1114153368 | Moushumi Meher | Family Medicine | 9825 Hospital Drive, Suite 300, Maple Grove, MN 55369 | 2009-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| 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 |
|---|---|---|---|---|
| 1679667927 | Costco Wholesale Corp | Pharmacy | 11330 Fountains Dr, Maple Grove, MN 55369 | 2006-10-03 |
| 1861592206 | Grand St Paul Cvs LLC | Pharmacy | 6300 Wedgewood Rd N, Maple Grove, MN 55311 | 2006-09-25 |
| 1326060013 | Grand St Paul Cvs LLC | Pharmacy | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2006-07-24 |
| 1831383504 | Hass Enterprises, Inc. | Pharmacy | 9825 Hospital Dr., 100, Maple Grove, MN 55369 | 2007-09-05 |
| 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 | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on NORTH MEMORIAL PHARMACY MAPLE GROVE.
| 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.