| NPI | 1174622955 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-21 |
| Last Updated | 2020-08-21 |
| Authorized Official | Lynn Young DIRECTOR OF PHARMACY Phone: 3203542743 |
| Mailing Address | Po Box 6146, Po Box 6146 Saint Cloud, MN 56302-6146 United States Phone: (320) 534-2745 | Fax: (320) 203-1095 📍 View Map |
| Primary Practice Address | 1300 5th St Se Willmar, MN 56201-5321 United States Phone: (320) 235-2506 | Fax: (320) 214-8673 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 1174622955 | - |
| Other (non-Medicare) | - | 2046642 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332BC3200X – Durable Medical Equipment & Medical Supplies, Customized Equipment | - | - |
| No | 332BP3500X – Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | - | - |
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 333600000X – Pharmacy | - | - |
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | MN | 260556 |
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About NPI 1174622955
Coborns Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174622955. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Willmar, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174622955?
NPI 1174622955 belongs to Coborns Inc, a Pharmacy, Community/Retail Pharmacy in Willmar, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174622955 active?
The current status of NPI 1174622955 in the NPPES registry is Active. The record was last updated on 2020-08-21.
What specialty is NPI 1174622955?
NPI 1174622955 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174622955?
You can verify NPI 1174622955 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174622955?
The primary practice address on file for NPI 1174622955 is 1300 5th St Se, Willmar, MN 56201-5321. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174622955 issued?
NPI 1174622955 was first issued (enumerated) on 2006-09-21. The NPPES record was last updated on 2020-08-21.
Practice Location Map
Coborns Inc is located at 1300 5th St Se, Willmar, MN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Coborns Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174622955. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 260556 | MN |