MEDICARE: TARGET CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	22847	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2099149	OTHER		PK

General Provider Information

NPI Number	:	1144243429
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARGET CORPORATION

Provider Business Mailing Address
First Line	:	1000 NICOLLET MALL # 1795
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-2542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12901 N IH 35 STE 3-300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78753-1020
Country	:	US
Telephone Number	:	512-651-0609
Fax Number	:	512-362-5550

Authorized Official
Title or Position	:	HC ENROLLMENT SPECIALIST
Name	:	KIMBERLY JEROME
Credential	:
Telephone Number	:	612-696-8312

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/02/2015

Similar Medicare Providers

1891089140 — MS. EILEEN M COBB R.PH.
Practice Location Address:

12901 N I H 35 STE 3-300
AUSTIN, TX
78753-1020

Practice Phone: 512-651-0609
Practice Fax: 512-651-0609

1952745853 — DR. DANYELL M BALFOUR PHARMD
Practice Location Address:

12901 N IH 35 STE 3-300 , T1817
AUSTIN, TX
78753-1020

Practice Phone: 512-651-0609
Practice Fax:

1730332693 — DR. NIRAJ HIRO PAHLAJANI M.D.
Practice Location Address:

1020 W 34TH ST
AUSTIN, TX
78705-2009

Practice Phone: 512-687-1950
Practice Fax: 512-687-1490

1083546519 — KATIE CHANTAL COLE MS SLP
Practice Location Address:

13150 FOUR STAR BLVD
AUSTIN, TX
78737-1020

Practice Phone: 512-645-1445
Practice Fax:

1477530350 — RICHARD PROCTOR GARZA MD
Practice Location Address:

1020 W 34TH ST
AUSTIN, TX
78705-2009

Practice Phone: 512-687-1950
Practice Fax: 512-687-1490

1093138158 — KAITLYN FULLER DPT
Practice Location Address:

7801 N LAMAR BLVD STE E216
AUSTIN, TX
78752-1020

Practice Phone: 512-646-4673
Practice Fax: 310-882-5451

Directions to “TARGET CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.