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GOODRICH PHARMACY ANDOVER
NPI 1619089612
Pharmacy - Community/Retail Pharmacy in Andover, MN

Active since August 31, 2006
15245 BLUEBIRD ST NW, STE B, ANDOVER, MN 55304(763) 434-1901(763) 587-4694 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2023, Apr 20, 2022, Apr 1, 2016 (3 updates tracked since 2016).

About Goodrich Pharmacy Andover NPPES

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

GOODRICH PHARMACY ANDOVER (NPI 1619089612) is a healthcare organization registered as a community/retail pharmacy in Andover, Minnesota and active in the NPI registry since August 2006. The organization lists Scott Michael Benson, President., as its authorized official.

NPPES Registry Identity

NPI1619089612
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGOODRICH PHARMACY INC
Location Address15245 BLUEBIRD ST NW, STE BAndover, MN 55304
Mailing Address2621 Greenhaven Rd Ste 1Anoka, MN 55303-5566 · (763) 421-4766 · Fax (763) 421-9229
Phone(763) 434-1901
Fax(763) 587-4694
Organization SubpartNo
Authorized OfficialScott Michael BensonPresident. · (763) 434-1901
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1619089612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MN · 265079
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 ListedPharmacyTaxonomy 333600000X
15245 BLUEBIRD ST NW, Andover, MN 55304
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Other Names 1

Doing Business AsGoodrich Pharmacy Andover

Other Identifiers 2

Other2047848Pk
Medicaid781019900MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 4

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

Goodrich Pharmacy

DMEPOS supplier · Andover, MNOperated by Goodrich Pharmacy Inc
✔

Accepts Medicare assignment

Goodrich Pharmacy 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.

PTAN (Medicare Supplier Number)20413913
Medicare Participant SinceMay 20, 2020
Supplier Location15245 Bluebird St NW Ste BAndover, MN 55304
Phone(763) 434-1901
Supplier Specialties
Certified Other Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Wheelchairs (Standard Manual)
Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Surgical Dressings
Gauze, Elastic bandages, Adhesive tape
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 20

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

DIVINA FAMA BIKERI CNP
Nurse Practitioner (Family)
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688
ROMAN P SMULKA MD
Family Medicine
15245 BLUEBIRD ST NW, MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER
ANDOVER, MN 55304
Anoka County (763) 587-4600
BARBARA SCHIEFEN
Nurse Practitioner
15245 BLUEBIRD ST NW, HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
ANDOVER, MN 55304
Anoka County (952) 853-8800
KARIN FILIP PAC-C
Physician Assistant
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688
CHANDRAWATIE KHEMRAJ APRN
Nurse Practitioner
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4688
HELEN C KNUTSON PNP
Nurse Practitioner
15245 BLUEBIRD ST NW, MAIL STOP 39200A
ANDOVER, MN 55304
Anoka County (763) 712-6000
GROUP HEALTH, INC.
Clinic/Center (Multi-Specialty)
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 587-4600
AMY CHERUVATHOOR
Pharmacist
15245 BLUEBIRD ST NW
ANDOVER, MN 55304
Anoka County (763) 434-1901

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 1619089612. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Goodrich Pharmacy Andover.

Where is Goodrich Pharmacy Inc located?

Goodrich Pharmacy Inc is located at 15245 Bluebird St NW Ste B, Andover, MN 55304. The listed phone number is (763) 434-1901.

What is Goodrich Pharmacy Inc's specialty?

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

Does Goodrich Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Goodrich Pharmacy 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., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 28 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.