Goodrich Pharmacy Inc
NPI 1619089612 · Community/Retail Pharmacy · Andover, MN
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Goodrich Pharmacy Inc is a Community/Retail Pharmacy organization in Andover, MN (NPI 1619089612).
Provider details
- NPI number
- 1619089612
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Scott Benson, President.(763) 434-1901
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Other names (DBA / former)
- Doing business as
- Goodrich Pharmacy Andover
- Doing business as
- Goodrich Pharmacy Andover
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2023-07-06
- Certified
- 2023-06-29
Frequently asked questions
- What is Goodrich Pharmacy Inc's NPI number?
- Goodrich Pharmacy Inc's National Provider Identifier (NPI) is 1619089612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Goodrich Pharmacy Inc?
- Goodrich Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Goodrich Pharmacy Inc located?
- Goodrich Pharmacy Inc's practice location on file with NPPES is 15245 Bluebird St Nw, Andover, MN 55304.
- What is Goodrich Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Goodrich Pharmacy Inc is (763) 434-1901.
- Does Goodrich Pharmacy Inc accept Medicare?
- Goodrich Pharmacy Inc 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 Goodrich Pharmacy Inc?
- The authorized official listed on Goodrich Pharmacy Inc's NPPES record is Scott Benson, President.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Goodrich Pharmacy Inc's NPI active?
- Yes — Goodrich Pharmacy Inc's NPI (1619089612) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.