ZELEKE BELAY GOSHU (NPI# 1063011021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011021 |
| Entity Type | Individual |
| Full Name | ZELEKE BELAY GOSHU |
| Credential | RPH |
| Practice Address |
15300 Grove Cir N Maple Grove MN 55369-4469 |
| Practice Telephone | 7634472507 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
124880 | MN | Pharmacy Service Providers |
| Street Address |
15300 GROVE CIR N |
| City | MAPLE GROVE |
| State | MN |
| Zip Code | 55369-4469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326060013 | Grand St Paul Cvs LLC | Pharmacy | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2006-07-24 |
| 1942835020 | Lindsay Hawkins | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2020-03-09 |
| 1902378821 | Nicole Marie Roach | Physician Assistant | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2018-12-18 |
| 1205360526 | John S Isenberg | Physician Assistant | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2017-04-13 |
| 1235680836 | Yaria Bangura | Nurse Practitioner | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2016-10-18 |
| 1194110411 | Carly Jordan | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2015-04-02 |
| 1992102735 | Mark Cool | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2014-11-21 |
| 1669883757 | Tegan Presley | Physician Assistant | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2014-05-12 |
| 1144653544 | Tekla Jay Krebs | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2013-08-21 |
| 1982036000 | Brady Michael Paul | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144188 | Bonnie Rose Theis | Counselor | 24 3rd Ave Ne, Unit B, Osseo, MN 55369 | 2020-11-06 |
| 1356976328 | Kirollos Samir Hanna | Pharmacist | 14500 99th Ave N, Suite 0a030, Maple Grove, MN 55369 | 2020-03-10 |
| 1396395463 | Susan Osborne | Technician | 9240 Orchid Lane, Maple Grove, MN 55369 | 2019-09-19 |
| 1710537196 | Janis Langsdale | Technician | 11070 108 Avenue North, Maple Grove, MN 55369 | 2019-09-17 |
| 1043724552 | Tracey Wahlquist | Speech-Language Pathologist | 11100 86th Ave N, Maple Grove, MN 55369 | 2017-11-20 |
| 1154860005 | Kayla Uptagrafft | Specialist/Technologist | 9555 Upland Lane Norh, Maple Grove, MN 55369 | 2017-02-13 |
| 1750823324 | Jennifer Ranallo | Social Worker | 9600 Upland Ln N Ste 110, Maple Grove, MN 55369 | 2016-11-13 |
| 1558723999 | Debra Grace Boersma | Advanced Practice Midwife | 9825 Hospital Dr#205, Maple Grove, MN 55369 | 2016-03-24 |
| 1396129433 | Maple Grove Smiles Dentistry, PC | Dentist | 12775 Elm Creek Blvd N, Maple Grove, MN 55369 | 2015-07-18 |
| 1558755900 | Krista Newman | Counselor | 24 3rd St Nw, Unit B, Osseo, MN 55369 | 2015-03-24 |
| Find all providers in zip 55369 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637145 | Nelson Nudd | Pharmacist | 4104 Zenith Ave S, Minneapolis, MN 55410-1156 | 2020-07-26 |
| 1609424712 | Fredrick Victor Parduhn | Pharmacist | 425 Sandy Ln, Red Wing, MN 55066-1759 | 2019-09-01 |
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1386160109 | Hayley Retaskie | Pharmacist | 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 | 2017-08-15 |
| 1104341932 | Logane Kiehnau | Pharmacist | 150 Emerson Ave E # E, West St Paul, MN 55118-2535 | 2017-08-14 |
| 1154773265 | Kailee Donner | Pharmacist | 701 Park Ave Rll. 120, Minneapolis, MN 55415 | 2016-07-13 |
| 1346600962 | Julie Corradi | Pharmacist | 5219 St. Johns Drive, Nett Lake, MN 55772 | 2016-02-24 |
| 1386993871 | Oluwaseyi Faseemo | Pharmacist | 314 Elton Hills Dr Nw, Rochester, MN 55901-2476 | 2012-08-30 |
| 1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
| 1669091278 | Athena Brindle Cannon | Pharmacist | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE GROVE |
| Zip Code | 55369 |
Please comment or provide details below to improve the information on ZELEKE BELAY GOSHU.
| 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.