Unknown Individual – Long Term Care Pharmacy, NPI 1962460113

Unknown Individual is a healthcare provider. based in Minneapolis, Minnesota. specializing in Long Term Care Pharmacy. They hold a License No. 001992 (OR). The NPI Number for Unknown Individual is 1962460113

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962460113
Phone
(253) 218-0830
Address
PO BOX 77030
Deactivation Date
25 January 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 77030

    MINNEAPOLIS, MN 554807730

    Phone: (253) 218-0830

    Fax: (253) 217-4306

    Type: Mailing

  • 707 S GRADY WAY STE 700

    RENTON, WA 980573243

    Phone: (253) 218-0830

    Fax: (253) 217-4306

    Type: Mailing

  • Hilltop Behavioral Health Center, 998, Library Court, Mount Pleasant, Oregon City, Metro, Clackamas County, Oregon, 97045, United States

    ROOM 4

    OREGON CITY, OR 970454041

    Phone: (503) 557-3051

    Fax: (503) 557-3052

    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.

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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 55480)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1962460113 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Long Term Care Pharmacy. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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