Minnesota State Colleges and Universities
NPI 1487636213ActiveOrganization· Pharmacy· Mankato, MN
Pharmacy in Mankato, Minnesota, registered in NPPES in November 2005. The authorized official on file is Ann Johnson, BS, Pharmacy Manager, Pic.
Overview
| NPI | 1487636213 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2005 |
| Last updated in NPPES | May 1, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 200808 | MN |
| Pharmacy, Clinic Pharmacy | 3336C0002X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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