ST. CLOUD HOSPITAL NPI 1013966175

NPI Information

  • NPI: 1013966175
  • Provider Name: ST. CLOUD HOSPITAL
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: CENTRACARE PHARMACY HEALTH PLAZA
  • Address: 1900 CENTRACARE CIRCLE
    SUITE 1350
    ST CLOUD, MN
    ZIP 56303
  • Phone: (320) 229-4904

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NPI Details

ST. CLOUD HOSPITAL is a community/retail pharmacy pharmacy in St Cloud, MN. The provider is 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. ST. CLOUD HOSPITAL NPI is 1013966175. The provider is registered as an organization entity type.
The provider Is Doing Business As Centracare Pharmacy Health Plaza.

The provider's business location address is:

1900 CENTRACARE CIRCLE
SUITE 1350
ST CLOUD, MN
ZIP 56303
Phone: (320) 229-4904
Fax: (320) 229-5168

The provider's authorized official is Matthew P. Kunkel .
The authorized official title is Vice President and has the following contact phone number (320) 251-2700.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 4/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail Pharmacy2620682MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12424543OTHERNCPDP
205092Y800MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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