MARKETPLACE PHARMACY LLC NPI 1780978841

NPI Information

  • NPI: 1780978841
  • Provider Name: MARKETPLACE PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MARKETPLACE PHARMACY
  • Address: 5262 KYLER AVE NE STE 112
    ALBERTVILLE, MN
    ZIP 55301
  • Phone: (763) 497-2846

Map and Directions

Get Directions

NPI Details

MARKETPLACE PHARMACY LLC is a community/retail pharmacy pharmacy in Albertville, 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. MARKETPLACE PHARMACY LLC NPI is 1780978841. The provider is registered as an organization entity type.
The provider Is Doing Business As Marketplace Pharmacy.

The provider's business location address is:

5262 KYLER AVE NE STE 112
ALBERTVILLE, MN
ZIP 55301-706
Phone: (763) 497-2846
Fax: (763) 497-0597

The provider's authorized official is James Roe .
The authorized official title is Owner/pharmacist In Charge and has the following contact phone number (507) 381-4794.

The enumeration date for this NPI number is 6/7/2011 and was last updated on 10/13/2014.

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 Pharmacy264143MINNESOTAYes

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
12130454OTHERPK
2906653200MEDICAIDMINNESOTA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI