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	21074350	OH

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	2075802	OTHER		PK

General Provider Information

NPI Number	:	1760404578
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	:	2800 SHILOH SPRINGS RD
Second Line	:
City	:	TROTWOOD
State	:	OH
Zip	:	45426-2137
Country	:	US
Telephone Number	:	937-837-2118
Fax Number	:	937-248-0020

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	02/02/2015

Similar Medicare Providers

1710272257 — BRANDY LYNN FARMER PHARM D
Practice Location Address:

2800 SHILOH SPRINGS RD , T-1130
TROTWOOD, OH
45426-2137

Practice Phone: 937-837-2118
Practice Fax:

1710272786 — MRS. MINDY JO HYRE RPH
Practice Location Address:

2800 SHILOH SPRINGS RD , T-1130
TROTWOOD, OH
45426-2137

Practice Phone: 937-837-2118
Practice Fax: 937-837-2118

1700726619 — PROTECTONORTH LLC
Practice Location Address:

6034 BELLCREEK LN
TROTWOOD, OH
45426-4726

Practice Phone: 571-563-6163
Practice Fax:

1932821352 — VONSHANAE BASS
Practice Location Address:

5159 KINGSFORD DR
TROTWOOD, OH
45426-1925

Practice Phone: 305-801-7757
Practice Fax:

1407794902 — MRS. SHERRIE YOUNG-ANDERSON
Practice Location Address:

5647 OLIVE TREE DR
TROTWOOD, OH
45426-1312

Practice Phone: 937-344-3049
Practice Fax: 937-344-3049

1639811839 — MACKENZIE LANE LSW
Practice Location Address:

5320 BROMWICK DR
TROTWOOD, OH
45426-1912

Practice Phone: 937-204-3858
Practice Fax:

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.