MEDICARE: BROOKPARK MARKETS LLC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	262673	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2427070	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548342330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKPARK MARKETS LLC

Provider Business Mailing Address
First Line	:	14400 EXCELSIOR BLVD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-5820
Country	:	US
Telephone Number	:	952-938-5347
Fax Number	:	952-746-5309

Provider Business Practice Location Address
First Line	:	14400 EXCELSIOR BLVD
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-5820
Country	:	US
Telephone Number	:	952-938-5347
Fax Number	:	952-746-5309

Authorized Official
Title or Position	:	PIC
Name	:	BARRY ZOSS
Credential	:
Telephone Number	:	952-938-5347

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	09/14/2009

Similar Medicare Providers

1093796005 — DR. KENT EDWARD CASSIDY D.D.S.
Practice Location Address:

14418 EXCELSIOR BLVD
MINNETONKA, MN
55345-5820

Practice Phone: 952-935-5212
Practice Fax: 952-935-1391

1548230709 — MARY OWEN D.D.S.
Practice Location Address:

14418 EXCELSIOR BLVD
MINNETONKA, MN
55345-5820

Practice Phone: 952-935-5212
Practice Fax:

1003062084 — GLEN LAKE DENTAL ASSOCIATES, P.A.
Practice Location Address:

14418 EXCELSIOR BLVD
MINNETONKA, MN
55345-5820

Practice Phone: 952-935-5212
Practice Fax: 952-935-1391

1508164591 — KRISTA LAPLANT M.A.
Practice Location Address:

4801 WOODRIDGE RD
MINNETONKA, MN
55345-3944

Practice Phone: 952-988-5200
Practice Fax:

1821223876 — DR. ARIF RIAZ CHAUDHRY MD
Practice Location Address:

15450 MN-7 , SUITE 225
MINNETONKA, MN
55345

Practice Phone: 952-333-6917
Practice Fax: 612-460-9937

1861054736 — JANNAH FIELDS BCABA
Practice Location Address:

5868 BAKER RD
MINNETONKA, MN
55345-5903

Practice Phone: 904-236-1143
Practice Fax:

Directions to “BROOKPARK MARKETS LLC ” 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.