Bluegrass LLC
Bluegrass LLC is a healthcare organization registered as Community/Retail Pharmacy in Holland, PA, holding Type 2 (organization) NPI 1891858411 since 2006. The authorized official on file is Tanya Minaeva, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891858411 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bluegrass LLC |
| Other name | <Unavail> |
| Practice address | 202 HOLLAND RD STE 230, Holland, PA, 18966 |
| Phone | 2156767650 |
| Fax | 2156768086 |
| Enumeration date | 2006-12-18 |
| Last updated in NPPES | 2026-01-26 |
Authorized official
| Name | Tanya Minaeva |
|---|---|
| Title | Owner |
| Phone | 2156767650 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | PP481659 | PA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10186675001 | Medicaid | PA | — |
| 2081747 | Other | — | PK |
Copy-ready billing details
Provider: Bluegrass LLC NPI: 1891858411 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 202 HOLLAND RD STE 230, Holland, PA, 18966
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407109887 | Cryo Spa Natural Healing Center | Organization | Massage Therapist | Southampton, PA |
| 1902159023 | Lucy Goldstein | Individual | Massage Therapist | Southampton, PA |
Verify this record
Cross-check NPI 1891858411 against the authoritative CMS record: view Bluegrass 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 Bluegrass LLC?
What is the NPI number for Bluegrass LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-26.