| NPI | 1285621193 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-10-05 |
| Last Updated | 2020-09-16 |
| Authorized Official | Jason Wachtl Vice President Phone: 9528541190 |
| Mailing Address | 10501 Florida Ave S Bloomington, MN 55438-2553 United States Phone: (952) 854-1190 | Fax: (952) 854-1082 📍 View Map |
| Primary Practice Address | 10501 Florida Ave S Bloomington, MN 55438-2553 United States Phone: (952) 854-1190 | Fax: (952) 854-1082 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MN | 718560000 | - |
| Other (non-Medicare) | - | 2046914 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
| No | 333600000X – Pharmacy | - | - |
| Yes | 3336L0003X – Pharmacy, Long Term Care Pharmacy | MN | 261375 |
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About NPI 1285621193
Geritom Med Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1285621193. The primary specialty listed is Pharmacy, Long Term Care Pharmacy. The organization is located in Bloomington, MN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-10-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1285621193?
NPI 1285621193 belongs to Geritom Med Inc, a Pharmacy, Long Term Care Pharmacy in Bloomington, MN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1285621193 active?
The current status of NPI 1285621193 in the NPPES registry is Active. The record was last updated on 2020-09-16.
What specialty is NPI 1285621193?
NPI 1285621193 is classified under the taxonomy Pharmacy, Long Term Care 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 1285621193?
You can verify NPI 1285621193 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 1285621193?
The primary practice address on file for NPI 1285621193 is 10501 Florida Ave S, Bloomington, MN 55438-2553. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1285621193 issued?
NPI 1285621193 was first issued (enumerated) on 2005-10-05. The NPPES record was last updated on 2020-09-16.
Practice Location Map
Geritom Med Inc is located at 10501 Florida Ave S, Bloomington, 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 Geritom Med 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 1285621193. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Long Term Care Pharmacy | 261375 | MN |