NICHOLAS BOREEN, PharmD — NPI 1740839570 (Licensed & Credentialed Suppliers

CMS-1500 Box 24J / 33a • NPI

1740839570

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

333600000X (CMS 58)

Licensed & Credentialed Suppliers — Pharmacy

Box 32 Service Location & ZIP+4

20 W MAIN ST, CROSBY, MN, 56441-1422

✓ 9-Digit EDI 837 ZIP+4 (56441-1422)

Practice Phone & Referral Fax

(218) 546-5144

Fax: (218) 546-7238

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1740839570 (NICHOLAS BOREEN, PharmD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1740839570` (NPI-1 Individual Practitioner)
Provider / Legal Name	NICHOLAS BOREEN, PharmD
Plain-English Specialty	Licensed & Credentialed Suppliers — Pharmacy NUCC Code: `333600000X` (Pharmacy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	20 W MAIN ST, CROSBY, MN, 56441-1422
Practice Telephone / Fax	Tel: (218) 546-5144 \| Fax: (218) 546-7238
Administrative Mailing Address	20 W MAIN ST, CROSBY, MN, 56441-1422
Enumeration & Last Sync	Enumerated: 2019-09-04 \| CMS Record Updated: 2019-09-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

20 W MAIN ST, CROSBY, MN, 56441-1422

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Plain-English Taxonomy & CMS Crosswalk (333600000X)

What Does Taxonomy Code 333600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 333600000X translates to:
"Licensed & Credentialed Suppliers — Pharmacy"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 58 (Medical Supply Company with Pharmacist) • CMS Code A5 (Pharmacy)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NICHOLAS BOREEN, PharmD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`333600000X` — Pharmacy Plain English: Licensed & Credentialed Suppliers — Pharmacy	State: MN \| License: `124462` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NICHOLAS BOREEN, PharmD (NPI #1740839570)