OrganizationActive
Deephaven Phcy Inc
NPI 1043439359 · Community/Retail Pharmacy · Wayzata, MN
Deephaven Phcy Inc is a Community/Retail Pharmacy organization in Wayzata, MN (NPI 1043439359).
Provider details
- NPI number
- 1043439359
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mark Larson, Pres(952) 473-4100
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3428 County Road 101 S
Wayzata, MN 55391-3421
Phone: (952) 473-4100
Street-level locationGet directions
Mailing address
3428 County Road 101 S
Wayzata, MN 55391-3421
Other names (DBA / former)
- Doing business as
- Deephaven Drug Co
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2007-09-12
Frequently asked questions
- What is Deephaven Phcy Inc's NPI number?
- Deephaven Phcy Inc's National Provider Identifier (NPI) is 1043439359, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Deephaven Phcy Inc?
- Deephaven Phcy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Deephaven Phcy Inc located?
- Deephaven Phcy Inc's practice location on file with NPPES is 3428 County Road 101 S, Wayzata, MN 55391-3421.
- What is Deephaven Phcy Inc's phone number?
- The practice phone number listed in the NPPES registry for Deephaven Phcy Inc is (952) 473-4100.
- Who is the authorized official for Deephaven Phcy Inc?
- The authorized official listed on Deephaven Phcy Inc's NPPES record is Mark Larson, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Deephaven Phcy Inc's NPI active?
- Yes — Deephaven Phcy Inc's NPI (1043439359) is active in the NPPES registry as of the last update on 2007-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.