1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Pharmacy
  6. NPI Profile

NICOLLET PHARMACY LLC
NPI 1285383190
Pharmacy - Community/Retail Pharmacy in Minneapolis, MN

Active since March 20, 2022
2805 NICOLLET AVE, MINNEAPOLIS, MN 55408(612) 644-8142 Get Directions Write a Review

NPPES record last updated: March 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicollet Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLLET PHARMACY LLC (NPI 1285383190) is a healthcare organization registered as a community/retail pharmacy in Minneapolis, Minnesota and active in the NPI registry since March 2022. The organization lists Deeq Yussuf Mohammed, Pharmacist In Charge (pic), as its authorized official.

NPPES Registry Identity

NPI1285383190
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameNICOLLET PHARMACY LLC
Location Address2805 NICOLLET AVEMinneapolis, MN 55408-2329
Mailing Address2805 Nicollet AveMinneapolis, MN 55408-2329 · (612) 644-8142
Phone(612) 644-8142
Organization SubpartNo
Authorized OfficialDeeq Yussuf MohammedPharmacist In Charge (pic) · (612) 644-8142
Enumeration DateMarch 20, 2022
NPPES CertifiedMarch 20, 2022
✔ NPI 1285383190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
2805 NICOLLET AVE, Minneapolis, MN 55408
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Nicollet Pharmacy carries, from the Medicare DMEPOS supplier directory.

Nicollet Pharmacy

DMEPOS supplier · Minneapolis, MNOperated by Nicollet Pharmacy LLC
⋮

Does not accept Medicare assignment

Nicollet Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)26716906
Medicare Participant SinceNovember 1, 2022
Supplier Location2805 Nicollet AveMinneapolis, MN 55408
Phone(612) 345-7619
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicollet Pharmacy LLC's NPI number?

The NPI number for Nicollet Pharmacy LLC is 1285383190. It was assigned to this organization in the NPPES registry on March 20, 2022.

Where is Nicollet Pharmacy LLC located?

Nicollet Pharmacy LLC is located at 2805 Nicollet Ave, Minneapolis, MN 55408. The listed phone number is (612) 644-8142.

What is Nicollet Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Nicollet Pharmacy LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Nicollet Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Nicollet Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Nicollet Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicollet Pharmacy LLC was last updated on March 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.