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Active NPI 1083455166 Organization (Entity Type 2)

Optimedicus Llc

Pharmacy • Bloomington, MN

About Optimedicus Llc NPI 1083455166 Summary

Optimedicus Llc is a verified healthcare organization specializing in Pharmacy operating in Bloomington, MN. Located at 8609 LYNDALE AVE S STE 101K, this facility provides patient care and medical services under National Provider Identifier (NPI) 1083455166.

Administrative operations and authorized compliance are overseen by Mohamed Shukri (Pharmacist).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

8609 Lyndale Ave S Ste 101k

Bloomington, MN 554202734

Telephone 6127048030

Authorized Official Information

Authorized Contact Name

DR. Mohamed Shukri

Title / Role

Pharmacist

Official Telephone

6127048030

Facility Classifications & Specialties

Pharmacy Primary Taxonomy

NUCC Taxonomy Code: 333600000X

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Mohamed Shukri NPI 1679286462

Pharmacist

Bloomington, MN

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active June 04, 2024

NPI status registered as active in NPPES database

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Updated Practice Location June 04, 2024

Registered at 8609 LYNDALE AVE S STE 101K, BLOOMINGTON, MN 554202734 (Tel: 6127048030)

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Updated Business Mailing Address June 04, 2024

Registered at 8609 LYNDALE AVE S STE 101K, BLOOMINGTON, MN 554202734

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Organization / Clinic Name Updated June 04, 2024

Operating as OPTIMEDICUS LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2024

Pharmacy

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Initial NPI Registration & Enumeration June 04, 2024

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

0 Reviews

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NPI Organization Metadata

NPI Number: 1083455166

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 04, 2024

Last Update: June 04, 2024

Update or Correct Listing

Mailing Address

8609 Lyndale Ave S Ste 101k

Bloomington, MN 554202734

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.