Goodrich Pharmacy Inc
Goodrich Pharmacy Inc is a healthcare organization registered as Community/Retail Pharmacy in Andover, MN, holding Type 2 (organization) NPI 1619089612 since 2006. The authorized official on file is Scott Benson, President..
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1619089612 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Goodrich Pharmacy Inc |
| Other name | <Unavail> |
| Practice address | 15245 BLUEBIRD ST NW, STE B, Andover, MN, 55304 |
| Phone | 7634341901 |
| Fax | 7635874694 |
| Enumeration date | 2006-08-31 |
| Last updated in NPPES | 2023-07-06 |
Authorized official
| Name | Scott Benson |
|---|---|
| Title | President. |
| Phone | 7634341901 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 265079 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2047848 | Other | — | PK |
| 781019900 | Medicaid | MN | — |
Copy-ready billing details
Provider: Goodrich Pharmacy Inc NPI: 1619089612 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 15245 BLUEBIRD ST NW, STE B, Andover, MN, 55304
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396720553 | Scott Benson | Individual | Pharmacist | Andover, MN |
| 1073590881 | Barbara Schiefen | Individual | Nurse Practitioner | Andover, MN |
| 1316911530 | John Gfrerer | Individual | Family Medicine Physician | Andover, MN |
| 1043284268 | Roman Smulka | Individual | Family Medicine Physician | Andover, MN |
| 1184698052 | Helen Knutson | Individual | Nurse Practitioner | Andover, MN |
| 1912971706 | Paul Lysne | Individual | Family Medicine Physician | Andover, MN |
| 1558336198 | Rebecca Brandt | Individual | Physician Assistant | Andover, MN |
| 1528033149 | Sherry Marinello | Individual | Physician Assistant | Andover, MN |
Verify this record
Cross-check NPI 1619089612 against the authoritative CMS record: view Goodrich Pharmacy Inc 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
What is the NPI number for Goodrich Pharmacy Inc?
Who is the authorized official for Goodrich Pharmacy Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-06.