TARGET PHARMACY
NPI 1356363907
Pharmacy - Community/Retail Pharmacy in Stone Mountain, GA

Active since July 24, 2006
2055 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087(770) 498-5886(770) 498-5886 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Target Pharmacy NPPES

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

TARGET PHARMACY (NPI 1356363907) is a healthcare organization registered as a community/retail pharmacy in Stone Mountain, Georgia and active in the NPI registry since July 2006. The organization lists Paula Ekeren, Managed Care Administrator, as its authorized official.

NPPES Registry Identity

NPI1356363907
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameTARGET CORPORATION AND SUBSIDIARIES
Location Address2055 W PARK PLACE BLVDStone Mountain, GA 30087-3531
Mailing Address1000 Nicollet Mall # 0910Minneapolis, MN 55403-2542
Fax(770) 498-5886
Organization SubpartNo
Authorized OfficialPaula EkerenManaged Care Administrator · (612) 696-2262
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 15, 2008
NPI 1356363907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in GA · 8290
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
2055 W PARK PLACE BLVD, Stone Mountain, GA 30087

Other Names 1

Doing Business AsTarget Pharmacy

Other Identifiers 3

Other1145879Ncpdp Provider Identification Number
Medicare NSC0640710288
Medicaid00816439AGA

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 Target Corporation And Subsidiaries's NPI number?

The NPI number for Target Corporation And Subsidiaries is 1356363907. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is doing business as Target Pharmacy.

Where is Target Corporation And Subsidiaries located?

Target Corporation And Subsidiaries is located at 2055 W Park Place Blvd, Stone Mountain, GA 30087. The listed phone number is (770) 498-5886.

What is Target Corporation And Subsidiaries's specialty?

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

When was this NPI record last updated?

The NPPES record for Target Corporation And Subsidiaries was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.