DR. JACLYN RUST (NPI# 1467978213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467978213 |
| Entity Type | Individual |
| Full Name | DR. JACLYN RUST |
| Credential | PHARMD |
| Practice Address |
6341 University Ave Ne Fridley MN 55432-4946 |
| Mailing Address |
1217 8th St N New Ulm MN 56073-1552 |
| Practice Telephone | 7635865844 |
| Mailing Telephone | 5072175390 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2019-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
121773 | MN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10000 Zane Ave N, Brooklyn Park, MN 554431400 | 7635286999 |
| Street Address |
6341 UNIVERSITY AVE NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-4946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912968546 | Barbara Anne Bank | Family Medicine | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2006-03-31 |
| 1154980068 | Autumn Michelle Phenow | Social Worker | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2019-06-13 |
| 1649764069 | Joni Lager | Health Educator | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2018-06-19 |
| 1053841569 | Steven Alex Rizzi | Optometrist | 6341 University Ave Ne, Fridley, MN 55432 | 2017-06-16 |
| 1639613318 | Fairview Health Services | Counselor | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2016-12-14 |
| 1497162721 | Laura Lorraine Hilker | Nurse Practitioner | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2014-07-18 |
| 1861838971 | Lois Finney | Dietitian, Registered | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2013-05-15 |
| 1831443480 | Andrew Allan Link | Physician Assistant | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2012-11-05 |
| 1962769125 | Michael Brian Macintire | Family Medicine | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2012-04-12 |
| 1457649667 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | 6341 University Ave Ne, Fridley, MN 55432-4946 | 2011-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
| 1063011021 | Zeleke Belay Goshu | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2020-10-21 |
| 1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JACLYN RUST.
| 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.