OrganizationActive
Columbia Park Medical Group, PA
NPI 1326148271 · Clinic Pharmacy · Columbia Heights, MN
Provider details
- NPI number
- 1326148271
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Weir, Executive Director(763) 586-5877
- License
- 261734-9 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 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
4000 Central Ave Ne
Columbia Heights, MN 55421-2968
Phone: (763) 572-5710
Fax: (763) 782-8100
Street-level locationGet directions
Mailing address
6401 University Ave Ne
Fridley, MN 55432-4341
Other names (DBA / former)
- Other name
- Cpmg-Columbia Park Pharmacy
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.