Unknown Individual – Non-Pharmacy Dispensing Site, NPI 1639243207

Unknown Individual is a healthcare provider. based in Eden prairie, Minnesota. specializing in Non-Pharmacy Dispensing Site. The NPI Number for Unknown Individual is 1639243207

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639243207
Phone
(952) 653-2528
Address
6501 CITY WEST PKWY
Deactivation Date
20 June 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 6501, City West Parkway, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    EDEN PRAIRIE, MN 553443248

    Phone: (952) 653-2528

    Type: Mailing

  • Business Center Drive Northwest, Country Crossings Business Center, Lake Orono Estates, Elk River, Sherburne County, Minnesota, 55330, United States

    ELK RIVER, MN 553304654

    Phone: (952) 653-2528

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55344)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1639243207?
NPI 1639243207 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Non-Pharmacy Dispensing Site. Clinical services aligned with this taxonomy classification.
Where in Minnesota is Unknown Individual registered?
Use Eden Prairie, Minnesota as the headline location for Unknown Individual here.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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