LISA KROHN (NPI# 1043650104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043650104 |
| Entity Type | Individual |
| Full Name | LISA KROHN |
| Credential | PHARMD |
| Practice Address |
1415 Saint Francis Ave Shakopee MN 55379-3374 |
| Practice Telephone | 9529934342 |
| Practice Fax Number | 9529937754 |
| Mailing Telephone | 9529934342 |
| Mailing Fax Number | 9529937754 |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 121248 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MINNESOTA LICENSE NUMBER | 121248 | 01 |
| Street Address |
1415 SAINT FRANCIS AVE |
| City | SHAKOPEE |
| State | MN |
| Zip Code | 55379-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336122969 | Daniel W Hauschulz | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2005-11-29 |
| 1407200892 | Chelsey Sand | Family Medicine | 1415 Saint Francis Ave, Shakopee, MN 55379 | 2016-04-21 |
| 1215345244 | Keith Wayne Fridel | Psychologist | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2014-07-22 |
| 1629482708 | Grant William Mathison | Orthopaedic Surgery | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2014-06-17 |
| 1811308265 | Caitlin Marie Pelletier | Pediatrics | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2014-05-19 |
| 1619395571 | Rachael Summers | Obstetrics & Gynecology | 1415 Saint Francis Ave, Shakopee, MN 55379 | 2014-03-28 |
| 1629400163 | Carly Thiner | Nurse Practitioner | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2013-08-07 |
| 1225334709 | Kaylen Mcnamara James Jackson | Dietitian, Registered | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2011-02-01 |
| 1982919718 | Kathryn Nicole Kuske | Physician Assistant | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2010-08-17 |
| 1043531437 | Crystal J Knutson | Pediatrics | 1415 Saint Francis Ave, Shakopee, MN 55379 | 2010-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
| 1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
| 1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
| 1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
| 1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
| 1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
| 1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
| 1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
| Find all providers in zip 55379 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1952873341 | Grace Awino Otieno | Pharmacist | 3112 Crane St, Shakopee, MN 55379-4499 | 2018-12-22 |
| 1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
| 1699188144 | Dick Jacobson | Pharmacist | 744 Jefferson St S, Shakopee, MN 55379-2047 | 2014-06-03 |
| 1841580867 | Lara Rae Kennedy | Pharmacist | 1664 Bedford Ln, Shakopee, MN 55379-4449 | 2011-04-11 |
| 1295042620 | Steven Lloyd Bladow | Pharmacist | 7467 Hampton Ln, Shakopee, MN 55379-7025 | 2010-09-07 |
| 1962524595 | Phong T Pham | Pharmacist | 868 Swaps Dr, Shakopee, MN 55379-3801 | 2007-04-04 |
| 1205808177 | Michael J Clairmont | Pharmacist | 1737 Belmont Ave Nw, Shakopee, MN 55379-7804 | 2006-02-06 |
| 1194324590 | Kelly Belair | Pharmacist | 8101 Old Carriage Ct, Shakopee, MN 55379-3155 | 2020-10-19 |
| 1356964571 | Luke Lorenz | Pharmacist | 1685 17th Ave E, Shakopee, MN 55379-4407 | 2020-05-21 |
| Find all providers in SHAKOPEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.