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	2674000	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	2072215	OTHER		PK

General Provider Information

NPI Number	:	1871515676
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	:	3720 SOLDANO BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1422
Country	:	US
Telephone Number	:	614-279-5678
Fax Number	:	614-279-5678

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

1700982618 — PEARLE VISION INC
Practice Location Address:

3634 SOLDANO BLVD
COLUMBUS, OH
43228-1422

Practice Phone: 614-279-8711
Practice Fax:

1265726350 — BRYNN STECKMAN PHARM D, RPH
Practice Location Address:

3720 SOLDANO BLVD
COLUMBUS, OH
43228-1422

Practice Phone: 614-279-5678
Practice Fax:

1285928168 — MRS. NICHOLE STANLEY RPH
Practice Location Address:

3720 SOLDANO BLVD , T-0668
COLUMBUS, OH
43228-1422

Practice Phone: 614-279-5678
Practice Fax: 614-279-5678

1841586195 — MRS. SUSAN KOLTAS BOETTNER RPH
Practice Location Address:

3720 SOLDANO BLVD
COLUMBUS, OH
43228-1422

Practice Phone: 614-279-5678
Practice Fax: 614-279-5678

1568759504 — JENNIFER L CIMINELLO RPH
Practice Location Address:

3720 SOLDANO BLVD
COLUMBUS, OH
43228-1422

Practice Phone: 614-279-5678
Practice Fax:

1417202292 — DR. CORY THOMAS REESE PHARMD, RPH
Practice Location Address:

3720 SOLDANO BLVD , ATTN: PHARMACY
COLUMBUS, OH
43228-1422

Practice Phone: 614-279-5678
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.