EMEBEAT A TIBEBU


Address: 818 Washington Ave Se, Minneapolis, MN 55414-3035
Phone: 6123314240

EMEBEAT A TIBEBU (NPI# 1093335630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093335630
Entity Type Individual
Full Name EMEBEAT A TIBEBU
Practice Address 818 Washington Ave Se
Minneapolis
MN 55414-3035
Practice Telephone 6123314240
Practice Fax Number 6123314240
Mailing Telephone 6123314240
Mailing Fax Number 6123314240
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 124101 MN Pharmacy Service Providers

Office Location

Street Address 818 WASHINGTON AVE SE
City MINNEAPOLIS
State MN
Zip Code 55414-3035

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1053881698 Lauren Michelle Scholder Psychologist 401 Main St Se Apt 7009, Minneapolis, MN 55414 2018-11-27
1427530666 Kelli Howard Psychologist 2724 University Ave Se Unit B, Minneapolis, MN 55414 2018-09-04
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1598297699 Patrick Curran Student in an Organized Health Care Education/Training Program 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 2017-03-29
1679923957 Jillian Theresa Tholen Dietitian, Registered 411 E Hennepin Ave, Minneapolis, MN 55414 2016-06-16
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992302426 Jacob Hansen Pharmacist 711 Kasota Ave Se Ste A, Minneapolis, MN 55414-2842 2020-10-07
1871106211 Victor Tam Pharmacist 6411 Newton Ave S, Minneapolis, MN 55423-1115 2020-08-25
1689286221 Hoa Bui Pharmacist 4547 Hiawatha, Minneapolis, MN 55406 2020-08-17
1942818711 Danielle Morgan Pharmacist 2525 Chicago Ave Ste 32-1667, Minneapolis, MN 55404-4518 2020-07-17
1407477748 Amy Anderson Pharmacist 2101 Kennedy St Ne, Minneapolis, MN 55413-2606 2020-04-28
1114547643 Kevin Reininger Pharmacist 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 2020-04-24
1922634252 Nkuti Ndely Pharmacist 1300 W Lake St, Minneapolis, MN 55408-7200 2020-03-18
1174170229 Rebeca Reyes Salaman Pharmacist 4555 Upton Ave N, Minneapolis, MN 55412-1047 2019-08-23
1003462540 Louise Ballam Peterson Pharmacist 2801 Nicollet Ave, Minneapolis, MN 55408-2329 2019-08-12
1962064741 Kaylin Grace Maddy Pharmacist 600 Stinson Blvd, Minneapolis, MN 55413-2620 2019-07-02
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Competitor

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City MINNEAPOLIS
Zip Code 55414

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Dataset Information

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.

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