MEDICARE: MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH

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	3336C0002X	Clinic Pharmacy	262170	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2425002	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548365406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAYO FOUNDATION FOR MEDICAL EDUCATION & RESEARCH

Provider Business Mailing Address
First Line	:	PO BOX 860135
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55486-0135
Country	:	US
Telephone Number	:	507-284-3390
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 CENTER ST W STE LO19
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55902-3003
Country	:	US
Telephone Number	:	507-266-7416
Fax Number	:	507-538-1314

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. ANDREA SWANSON
Credential	:	RPH
Telephone Number	:	507-538-1680

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	08/20/2025

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