COBORN'S PHARMACY #2033 – Community/Retail Pharmacy, NPI 1679670426
Community/Retail Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for COBORN'S PHARMACY #2033
Coborn's Superstore, 7900, Sunwood Drive Northwest, Ramsey, Anoka County, Minnesota, 55303, United States
RAMSEY, MN 553035129
Phone: (763) 323-1004
Fax: (763) 323-0984
Type: Location
Saint Cloud Post Office, 2nd Street North, Saint Cloud, Stearns County, Minnesota, 56303, United States
PO BOX 6146
SAINT CLOUD, MN 563026146
Phone: (320) 534-2745
Fax: (320) 203-1095
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-30
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Revalidation scheduled
Earliest CMS due date is 2026-09-30 (106 days away).
Enrollment records
1
Earliest due date
2026-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930092040 | O | Pharmacy | MN | 2026-09-30 |
What to do next
- Monitor the published due date as it approaches.
- Plan to revalidate in PECOS within the window CMS allows before the due date.
- Verify the date on the CMS Revalidation Lookup Tool before submitting.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 64 | 64 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 61 | 61 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 60 | 60 | $0 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 36 | 36 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | 25 | $0 |
Insurance plans in this area (ZIP 55303)
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