Provider Demographics
NPI:1073985941
Name:MEDMINDER SYSTEMS INC
Entity Type:Organization
Organization Name:MEDMINDER SYSTEMS INC
Other - Org Name:MEDMINDER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:HILSENROTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-633-6463
Mailing Address - Street 1:320 NORWOOD PARK S
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-4659
Mailing Address - Country:US
Mailing Address - Phone:888-633-6463
Mailing Address - Fax:844-633-6463
Practice Address - Street 1:320 NORWOOD PARK S STE 101
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4659
Practice Address - Country:US
Practice Address - Phone:888-633-6463
Practice Address - Fax:844-633-6463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-30
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X
MADS900723336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110107933AMedicaid
MA110107933BMedicaid
2155014OtherPK