OLIDIA PHARMACY INC
NPI 1336814680
Pharmacy - Long Term Care Pharmacy in Eden Prairie, MN

Q: What is Olidia Pharmacy Inc's NPI number?

The NPI number for Olidia Pharmacy Inc is 1336814680. It was assigned to this organization in the NPPES registry on August 10, 2021.

Q: What is Olidia Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since August 10, 2021

7530 MARKET PLACE DR, EDEN PRAIRIE, MN 55344(763) 298-3001(888) 698-1629 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2025, May 24, 2022, Aug 10, 2021 (3 updates tracked since 2021).

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About Olidia Pharmacy Inc NPPES

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

OLIDIA PHARMACY INC (NPI 1336814680) is a healthcare organization registered as a long term care pharmacy in Eden Prairie, Minnesota and active in the NPI registry since August 2021. The organization lists Olivier Nkwonkam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336814680

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameOLIDIA PHARMACY INC

Location Address7530 MARKET PLACE DREden Prairie, MN 55344-3636

Mailing Address7530 Market Place DrEden Prairie, MN 55344-3636 · (612) 567-7780

Phone(763) 298-3001

Fax(888) 698-1629

Organization SubpartNo

Authorized OfficialOlivier NkwonkamCeo · (612) 567-7780

Enumeration DateAugust 10, 2021

Last NPPES UpdateSeptember 20, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2025

✔ NPI 1336814680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

7530 MARKET PLACE DR, Eden Prairie, MN 55344

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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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olidia Pharmacy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMinnesotaEnrollment IDO20220328000996Non-DME Part B · PharmacyDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIDIA LIVING INC

Clinical Nurse Specialist (Long-Term Care)