PARK NICOLLET HEALTH CARE PRODUCTS (NPI# 1700993425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700993425 |
| Entity Type | Organization |
| Organization Name | PARK NICOLLET HEALTH CARE PRODUCTS |
| Other Organization Name | PARK NICOLLET PHARMACY BLOOMINGTON |
| Practice Address |
5320 Hyland Greens Dr Bloomington MN 55437-3934 |
| Mailing Address |
700 5th St S Hopkins MN 55343-7764 |
| Practice Telephone | 9529932530 |
| Practice Fax Number | 9529932470 |
| Mailing Telephone | 9529933804 |
| Mailing Fax Number | 9529931503 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | DAVID BUSCH (VICE PRESIDENT, PHARMACY OPERATIONS) |
| Authorized Official Telephone | 9529675049 |
| Is Organization Subpart | Y |
| Parent Organization Name | PARK NICOLLET PHARMACY |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
260680 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 565858600 | 05 | |
| PK | 2045943 | 01 |
| Other Name | Type Code |
|---|---|
| PARK NICOLLET PHARMACY BLOOMINGTON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1780103408 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 400 Wabasha Street Suite 260, St. Paul, MN 55102-1109 | 2017-09-13 |
| 1346598810 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 13688 Rogers Drive, Rogers, MN 55374-4916 | 2012-08-15 |
| 1235695594 | Park Nicollet Health Care Products | Eyewear Supplier (Equipment, not the service) | 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | 2019-02-12 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1487159836 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 927 Churchill St W, Stillwater, MN 55082-6605 | 2018-03-28 |
| 1881100089 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 700 5th St S, Hopkins, MN 55343-7764 | 2017-12-26 |
| 1114438546 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 411 Stageline Rd, Hudson, WI 54016-7848 | 2017-10-12 |
| 1144749862 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 155 Radio Drive, Woodbury, MN 55125-2040 | 2017-09-13 |
| 1629597331 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 535 Hospital Rd, New Richmond, WI 54017-1449 | 2017-09-13 |
| Street Address |
5320 HYLAND GREENS DR |
| City | BLOOMINGTON |
| State | MN |
| Zip Code | 55437-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881677953 | Lina Baneviciute | Internal Medicine | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2005-11-22 |
| 1679000426 | Adrianne Shoshana Chesser-fridy | Family Medicine | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2017-05-11 |
| 1720456106 | Lauren Doyle | Nurse Practitioner | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2015-09-02 |
| 1427438092 | Lucy Neitzel | Family Medicine | 5320 Hyland Greens Dr, Bloomington, MN 55437 | 2015-06-09 |
| 1922418953 | Robert Kagigebi | Family Medicine | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2014-04-29 |
| 1114363124 | Christine Ann Morley | Family Medicine | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2013-05-16 |
| 1629323753 | Amy M Perkins | Registered Nurse | 5320 Hyland Greens Dr, Park Nicollet Family Medicine, Bloomington, MN 55437-3934 | 2012-07-15 |
| 1225304405 | Kimberly Ann Locke | Social Worker | 5320 Hyland Greens Dr, Bloomington, MN 55437 | 2012-04-01 |
| 1568788347 | Amanda Christ | Family Medicine | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2010-04-19 |
| 1447424882 | Christina Stavig | Family Medicine | 5320 Hyland Greens Dr, Park Nicollet Clinic - Bloomington, Bloomington, MN 55437-3938 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344494 | Bloomington Smiles Dentistry, PC | Dentist | 10700 France Avenue, Suite 102, Bloomington, MN 55437 | 2016-01-26 |
| 1851788988 | Rachael Anne Wilson | Dentist | 4200 West Old Shakopee Rd, Suite 100, Bloomington, MN 55437 | 2015-04-15 |
| 1518166891 | Ronald Lawrence Shapiro | Internal Medicine | 5270 W 84th St, #500, Minneapolis, MN 55437 | 2007-07-16 |
| 1275742900 | Riverview Spine, P.a. | Chiropractor | 5402 W. Old Shakopee Road, Bloomington, MN 55437 | 2007-05-21 |
| 1184846149 | Michael Robert Wiles | Chiropractor | 5017 West 106th Street, Bloomington, MN 55437 | 2007-05-02 |
| 1821181421 | Tms Treatment Center Inc | Community Based Residential Treatment Facility, Mental Illness | 5414 West Old Shakopee Circle, Bloomington, MN 55437 | 2006-10-02 |
| 1952493736 | The James Inc | Home Health | 4533 Normandale Highlands Drive, Bloomington, MN 55437 | 2006-09-29 |
| 1093747354 | Kris J Kalenda | Dentist | 4200 W Old Shakopee Rd, Suite 221, Bloomington, MN 55437 | 2006-07-07 |
| 1871560078 | Gregory Borg Hanson | Dentist | 5270 W 84 St, Bloomington, MN 55437 | 2006-03-07 |
| 1770076184 | Cal Leonard Johnson | Physical Therapist | 5001 American Blvd W Ste 945, Bloomington, MN 55437 | 2018-06-11 |
| Find all providers in zip 55437 | ||||
| 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 |
|---|---|---|---|---|
| 1922640077 | Indiana University Health Bloomington Inc | Pharmacy | 601 W 2nd St Ste 100, Bloomington, IN 47403-2317 | 2019-10-10 |
| 1962891820 | Hy Vee Inc | Pharmacy | 1403 N Veterans Pkwy, Bloomington, IL 61704-2201 | 2015-01-15 |
| 1649369299 | Catozzi Corporation | Pharmacy | 730 W 2nd St, Bloomington, IN 47403-2210 | 2006-10-12 |
| 1548353196 | Town & Country Pharmacies, Inc. | Pharmacy | 404 W. Second St., Bloomington, IN 47403 | 2006-10-02 |
| 1801996855 | Promise Health Inc | Pharmacy | 18671 Valley Blvd Unit B, Bloomington, CA 92316-1831 | 2006-09-22 |
| 1790881241 | Walgreen Co | Pharmacy | 7940 Penn Ave S, Bloomington, MN 55431-1315 | 2006-09-15 |
| 1265535785 | Hook Superx LLC | Pharmacy | 1000 N College Ave, Bloomington, IN 47404-2475 | 2006-09-07 |
| 1073616512 | Hook Superx LLC | Pharmacy | 2650 S. Walnut St., Bloomington, IN 47401-6559 | 2006-09-07 |
| 1780690370 | Walgreen Co | Pharmacy | 9800 Lyndale Ave S, Bloomington, MN 55420-4731 | 2006-08-01 |
| 1881609014 | Walgreen Co | Pharmacy | 1408 N Main St, Bloomington, IL 61701-1762 | 2006-07-29 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 55437 |
Please comment or provide details below to improve the information on PARK NICOLLET HEALTH CARE PRODUCTS.
| 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.