Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Columbia Park Medical Group, PA

Clinic Pharmacy in Andover, MN · enumerated 2006 · authorized official John Weir, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417056698

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Registry record

Entity type Organization (Type 2)

Legal business name Columbia Park Medical Group, PA

Other name <Unavail>

Practice address 13819 Hanson Blvd Nw, Suite 100, Andover, MN, 55304

Phone (763) 862-4445

Fax (763) 862-4465

Enumeration date Sep 22, 2006

Last updated in NPPES Mar 7, 2023

Taxonomy & classification

3336C0002X Clinic Pharmacy Suppliers · License 261566-8 (MN) Primary

Authorized official

Name John Weir

Title Executive Director

Phone (763) 586-5877

Other identifiers

Identifier	Type	State	Issuer
306066	Other	MN	ANDA
45Q12CO	Other	MN	BCBS DME NUMBER
10016952	Other	MN	IPC NUMBER
24-22917	Other	MN	NABP NUMBER
314420	Other	MN	MCKESSON

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Columbia Park Medical Group, PA located?

The practice location on file with NPPES is in Andover, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-03-07. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.