MEDICARE: TARGET CORPORATION AND SUBSIDIARIES

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	PH1483	NV

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	2051384	OTHER		PK

General Provider Information

NPI Number	:	1205858800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARGET CORPORATION AND SUBSIDIARIES

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	:	278 S DECATUR BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2936
Country	:	US
Telephone Number	:	702-878-0400
Fax Number	:	702-570-4064

Authorized Official
Title or Position	:	HEALTHCARE ENROLLMENT SPECIALIST
Name	:	ROBYN STORTROEN
Credential	:
Telephone Number	:	612-696-8311

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	03/21/2014

Similar Medicare Providers

1104199926 — TARYN C SMITH MFT
Practice Location Address:

280 S DECATUR BLVD
LAS VEGAS, NV
89107-2936

Practice Phone: 702-759-1000
Practice Fax: 702-759-1000

1275550212 — SOUTHERN NEVADA HEALTH DISTRICT
Practice Location Address:

280 S DECATUR BLVD
LAS VEGAS, NV
89107-2936

Practice Phone: 702-759-1000
Practice Fax:

1609954031 — DR. ROBIN E CARTER DO
Practice Location Address:

280 S DECATUR BLVD
LAS VEGAS, NV
89107-2936

Practice Phone: 702-759-1700
Practice Fax:

1669763959 — AMY JENNIFER BRANDS RPH
Practice Location Address:

278 S DECATUR BLVD
LAS VEGAS, NV
89107-2936

Practice Phone: 916-501-2398
Practice Fax:

1740576750 — JASON SEAN YEE RPH
Practice Location Address:

278 S DECATUR BLVD , T0263
LAS VEGAS, NV
89107-2936

Practice Phone: 702-878-0400
Practice Fax: 702-878-0400

1134406820 — MRS. KRISTA K ATKINSON RPH
Practice Location Address:

278 S DECATUR BLVD
LAS VEGAS, NV
89107-2936

Practice Phone: 702-848-0700
Practice Fax:

Directions to “TARGET CORPORATION AND SUBSIDIARIES ” 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.