OAKDALE PHARMACY – NPI #1003920158
Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

OAKDALE PHARMACY is a pharmacy located in MAPLEWOOD, MN. NPPES has assigned the NPI number 1003920158 to OAKDALE PHARMACY on August 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OAKDALE PHARMACY” is a dba name, the actual legal business name for this organization is SUN DRUG INC. The primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OAKDALE PHARMACY below.

NPI Profile for
SUN DRUG INC

NPI Number
1003920158
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUN DRUG INC
Doing Business As (dba): OAKDALE PHARMACY
Primary location
2730 STILLWATER RD
MAPLEWOOD, MN 55119
Phone: (651) 735-2300 Fax: (651) 735-2301
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SALAH FATTAH
PHARMACIST OWNER
Phone: (651) 735-2300
Updated
Identifiers

Identifiers for OAKDALE PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNABP2402523
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
MN 2599250

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.