Nicollet Pharmacy LLC
NPI 1285383190 · Community/Retail Pharmacy · Minneapolis, MN
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicollet Pharmacy LLC is a Community/Retail Pharmacy organization in Minneapolis, MN (NPI 1285383190).
Provider details
- NPI number
- 1285383190
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Deeq Mohammed, Pharmacist in Charge (pic)(612) 644-8142
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2022-03-20
- Last updated
- 2022-03-20
- Certified
- 2022-03-20
Frequently asked questions
- What is Nicollet Pharmacy LLC's NPI number?
- Nicollet Pharmacy LLC's National Provider Identifier (NPI) is 1285383190, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nicollet Pharmacy LLC?
- Nicollet Pharmacy LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Nicollet Pharmacy LLC located?
- Nicollet Pharmacy LLC's practice location on file with NPPES is 2805 Nicollet Ave, Minneapolis, MN 55408-2329.
- What is Nicollet Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Nicollet Pharmacy LLC is (612) 644-8142.
- Does Nicollet Pharmacy LLC accept Medicare?
- Nicollet Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nicollet Pharmacy LLC?
- The authorized official listed on Nicollet Pharmacy LLC's NPPES record is Deeq Mohammed, Pharmacist in Charge (pic). The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nicollet Pharmacy LLC's NPI active?
- Yes — Nicollet Pharmacy LLC's NPI (1285383190) is active in the NPPES registry as of the last update on 2022-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.