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Oxybora Distributing, LLC

Oxybora Distributing, LLC is a healthcare organization registered as Community/Retail Pharmacy in St Louis Park, MN, holding Type 2 (organization) NPI 1609029297 since 2008. The authorized official on file is Boris Rabichev, Ceo.

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NPI 1609029297
Entity type Organization (Type 2)
Legal business name Oxybora Distributing, LLC
Other name <Unavail>
Practice address 4335 EXCELSIOR BLVD, St Louis Park, MN, 55416
Phone 9529224444
Fax 9529224455
Enumeration date 2008-10-28
Last updated in NPPES 2014-08-26

Authorized official

Name Boris Rabichev
Title Ceo
Phone 6128772842

Taxonomy & classification

Taxonomy code Specialty Primary License State
3336C0004X Compounding Pharmacy Secondary
332B00000X Durable Medical Equipment & Medical Supplies Secondary
3336C0003X Community/Retail Pharmacy Primary 263262 MN

Other identifiers

Identifier Type State Issuer
2117770 Other PK
Copy-ready billing details
Provider: Oxybora Distributing, LLC
NPI: 1609029297
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 4335 EXCELSIOR BLVD, St Louis Park, MN, 55416

Verify this record

Cross-check NPI 1609029297 against the authoritative CMS record: view Oxybora Distributing, LLC on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

Who is the authorized official for Oxybora Distributing, LLC?
NPPES lists Boris Rabichev (Ceo) as the authorized official for this organization.
What is the NPI number for Oxybora Distributing, LLC?
The NPI for Oxybora Distributing, LLC is 1609029297, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-08-26.