Our Family Pharmacy LLC
Pharmacy in Saint Paul, MN. Organization (NPI-2).
NPI number1639622947
StatusActive
Last updated in NPPESAug 24, 2016
Details
- NPI
- 1639622947
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Family Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2016
- Last updated
- Aug 24, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | 265127 | MN | Yes |
| 3336C0004X | Pharmacy, Compounding Pharmacy | – | – | |
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – |
Other names
- Our Family Pharmacy LLC (Doing Business As)
Practice location
601 University Ave WSaint Paul, MN 55103-1940
Phone 651-600-3988 · Fax 651-788-9068
Mailing address
601 University Ave WSaint Paul, MN 55103-1940
Phone 651-600-3988 · Fax 651-788-9068
Authorized official
Trung Nguyen
Owner
6516003988
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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