GOODRICH PHARMACY LTC
NPI 1457937773
Pharmacy - Long Term Care Pharmacy in Anoka, MN
About Goodrich Pharmacy Ltc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOODRICH PHARMACY LTC (NPI 1457937773) is a healthcare organization registered as a long term care pharmacy in Anoka, Minnesota and active in the NPI registry since March 2021. The organization lists Cory Middendorf, Pharmacist In Charge, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Goodrich Pharmacy Ltc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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.
Medical Equipment Supplier Medicare DMEPOS 2
Medicare supplier enrollment and the product categories Goodrich Pharmacy Ltc carries, from the Medicare DMEPOS supplier directory.
Goodrich Pharmacy Ltc
DMEPOS supplier · Anoka, MNOperated by Goodrich Pharmacy IncAccepts Medicare assignment
Goodrich Pharmacy Ltc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Goodrich Pharmacy, Inc.'s NPI number?
The NPI number for Goodrich Pharmacy, Inc. is 1457937773. It was assigned to this organization in the NPPES registry on March 18, 2021. The provider is doing business as Goodrich Pharmacy Ltc.
Where is Goodrich Pharmacy, Inc. located?
Goodrich Pharmacy, Inc. is located at 2321 7th Ave, Anoka, MN 55303. The listed phone number is (763) 421-5540.
What is Goodrich Pharmacy, Inc.'s specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.
Is Goodrich Pharmacy, Inc. enrolled in Medicare?
Yes. Goodrich Pharmacy, Inc. is registered in the Medicare PECOS enrollment system.
When is Goodrich Pharmacy, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Minnesota, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
Does Goodrich Pharmacy, Inc. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Goodrich Pharmacy Ltc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Goodrich Pharmacy, Inc. accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 40 other insurers list Goodrich Pharmacy, Inc. 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 Goodrich Pharmacy, Inc. was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Goodrich Pharmacy Ltc · NPI 1457937773
Long Term Care Pharmacy organization in Anoka, Minnesota. Organization record, active in the CMS NPPES registry since March 18, 2021.
## Identity
- **NPI:** 1457937773 (Entity type: Organization)
- **Enumerated:** March 18, 2021
- **Primary specialty:** Pharmacy - Long Term Care Pharmacy · taxonomy 3336L0003X
- **Legal business name:** Goodrich Pharmacy, Inc.
- **Organization subpart:** Yes (part of Goodrich Pharmacy, Inc.)
- **Authorized official:** Cory Middendorf, PHARMACIST IN CHARGE
## Practice location
- **Address:** 2321 7TH AVE, Anoka, MN 55303-1790
- **Phone:** (763) 421-5540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, Minnesota, Pharmacy) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2023
- **Other identifiers:** Medicaid 571358700 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1457937773) · Data from the CMS NPPES public registry.