OrganizationActive
Prairiecare LLC
NPI 1508378167 · Community/Retail Pharmacy · Brooklyn Park, MN
Provider details
- NPI number
- 1508378167
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Prairiecare LLC
- Organization subpart
- Yes
- Authorized official
- John Ryan, General Counsel(763) 762-6802
- License
- 264804 (MN)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Phone: (763) 762-8800
Fax: (763) 315-4469
Approximate (ZIP-level) locationGet directions
Mailing address
9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Other names (DBA / former)
- Doing business as
- Prairiecare
Registry dates
- Enumerated
- 2017-11-03
- Last updated
- 2021-04-16
- Certified
- 2021-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.