Provider Type Icon

MACKENTHUN BECK PHARMACY INC NPI 1801924303


NPI Information

NPI: 1801924303
Provider Name: MACKENTHUN BECK PHARMACY, INC

Doing Business As: BECK PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 24D1031079

Address:
851 MARKETPLACE DR
WACONIA, MN
ZIP 55387
Phone: (952) 442-4407
Get Directions

MACKENTHUN BECK PHARMACY, INC is a community/retail pharmacy pharmacy in Waconia, 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. MACKENTHUN BECK PHARMACY, INC NPI is 1801924303. The provider is registered as an organization entity type.
The provider Is Doing Business As Beck Pharmacy.

The provider's business location address is:

851 MARKETPLACE DR
WACONIA, MN
ZIP 55387-548
Phone: (952) 442-4407
Fax: (952) 442-5787

The provider's authorized official is Jessa Theis .
The authorized official title is Owner and has the following contact phone number (952) 442-5765.

The CLIA number assigned to this NPI record is 24D1031079 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 4/22/2009.


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
1332B00000XDurable Medical Equipment & Medical Supplies262255-4MINNESOTANo
23336C0003XPharmacyCommunity/Retail Pharmacy262255-4MINNESOTAYes

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
15852520001MEDICARE NSC
2588678000MEDICAIDMINNESOTA

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: 5/5/2024

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.