P Praxis·MD
● Active Type 2 · Organization

Target Corporation And Subsidiaries

Pharmacy·Stone Mountain, GA· NPI 1356363907 · Enumerated 2006 · 19 years on NPI
Target Corporation And Subsidiaries is 1 of 1965 pharmacy organizations in Georgia.
NPI age
19 years
Enumerated 2006-07-24
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ekeren
Managed Care Administrator
Last NPPES update
2008-09-15
Source: monthly bulk 2026-05

How this organization compares

Across 1965 active pharmacy providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 65% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
2055 W Park Place Blvd
Stone Mountain, GA 300873531
📞 7704985886fax 7704985886
Mailing address
1000 Nicollet Mall # 0910
Minneapolis, MN 554032542

Authorized official

Paula Ekeren
Managed Care Administrator
📞 6126962262

Specialties

  • Pharmacy Primary
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    GA license #8290 taxonomy 3336C0003X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X
  • Pharmacy
    A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
    taxonomy 333600000X

Identifiers

TypeValueNotes
05 (GA) 00816439A
01 1145879 NCPDP PROVIDER IDENTIFICATION NUMBER

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • TARGET PHARMACY
    Type code 3 recorded 2008-02-04

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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