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Bluegrass LLC

Community/Retail Pharmacy in Holland, PA · enumerated 2006 · authorized official Tanya Minaeva, Owner.

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

National Provider Identifier

1891858411

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Registry record

Entity type Organization (Type 2)
Legal business name Bluegrass LLC
Other name <Unavail>
Practice address 202 Holland Rd Ste 230, Holland, PA, 18966
Phone (215) 676-7650
Fax (215) 676-8086
Enumeration date Dec 18, 2006
Last updated in NPPES Jan 26, 2026

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PP481659 (PA) Primary

Authorized official

Name Tanya Minaeva
Title Owner
Phone (215) 676-7650

Other identifiers

Identifier Type State Issuer
10186675001 Medicaid PA -
2081747 Other - PK

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.

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Frequently asked questions

Who is the authorized official for Bluegrass LLC?
NPPES lists Tanya Minaeva (Owner) as the authorized official for this organization.
What is the NPI number for Bluegrass LLC?
The NPI for Bluegrass LLC is 1891858411, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-01-26.