LAURA FORTUNA (NPI# 1265710842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265710842 |
| Entity Type | Individual |
| Full Name | LAURA FORTUNA |
| Other Name | LAURA GRUBE |
| Credential | PHARMD |
| Practice Address |
401 Phalen Blvd Mail Stop: 41103f Saint Paul MN 55130-5302 |
| Mailing Address |
Po Box 1309 Mail Stop: 21111b Minneapolis MN 55440-1309 |
| Practice Telephone | 6512547600 |
| Practice Fax Number | 6512547623 |
| Mailing Telephone | 9528836807 |
| Mailing Fax Number | 9858538829 |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2011-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120500 | MN | Pharmacy Service Providers |
| Street Address |
401 PHALEN BLVD MAIL STOP: 41103F |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982699740 | Marlane J Brown | Optometrist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2005-09-16 |
| 1588297113 | Choua Yang Polaski | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-02-21 |
| 1588295687 | Fadumo Adan Salad | Nurse Practitioner | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-28 |
| 1992345110 | Hannah Kristine Dahl | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2020-01-15 |
| 1417476185 | Rebecca Horvath | Audiologist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-09-14 |
| 1154867430 | Erika Jarvey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2017-01-11 |
| 1134674682 | Kacie Jo Massey | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-08-24 |
| 1902251325 | Jennifer Lonetti | Physical Therapist | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-05-04 |
| 1003270232 | Andrea Langeveld | Dermatology | 401 Phalen Blvd, Saint Paul, MN 55130-5302 | 2016-04-13 |
| 1649640152 | Brittany Rae Kelly | Physician Assistant | 401 Phalen Blvd, Saint Paul, MN 55130 | 2015-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| 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 |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on LAURA FORTUNA.
| 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.