UNITED COMMUNITY PHARMACY CORPORATION


Address: 2500 Highway 88 Ste 105, St Anthony, MN 55418-4138
Phone: 6122598275

UNITED COMMUNITY PHARMACY CORPORATION (NPI# 1962037242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962037242
Entity Type Organization
Organization Name UNITED COMMUNITY PHARMACY CORPORATION
Practice Address 2500 Highway 88 Ste 105
St Anthony
MN 55418-4138
Practice Telephone 6122598275
Practice Fax Number 6122598286
Mailing Telephone 6122598275
Mailing Fax Number 6122598286
Enumeration Date 2020-03-07
Last Update Date 2020-03-07
Authorized Official Name MR. DAVID YESILEVSKIY (DIRECTOR OF OPERATIONS)
Authorized Official Telephone 6122598275
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
MN 715415000 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982924288 United Community Pharmacy Corporation Pharmacy 2500 New Brighton Blvd., Suite 105, Saint Anthony, MN 55418 2010-06-09

Office Location

Street Address 2500 HIGHWAY 88 STE 105
City ST ANTHONY
State MN
Zip Code 55418-4138

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1255825345 Senzilla Health Services, LLC Clinic/Center 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 2018-06-21
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1508242108 Caring Companions Home Health Care Home Health 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 2015-08-05
1477934438 Hybrid Behavioral Health Community/Behavioral Health 2221 Polk St Ne, Minneapolis, MN 55418 2015-06-16
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114544822 Rolseth Drug Co Pharmacy 26709 Forest Blvd, Wyoming, MN 55092-8022 2020-06-29
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
1548708175 Lewis Family Drug, LLC Pharmacy 1095 Morgan St, Tracy, MN 56175-1211 2017-02-02
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Competitor

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City ST ANTHONY
Zip Code 55418

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Dataset Information

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.

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