DR. PHEMELO B TSHANE (NPI# 1669507299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669507299 |
| Entity Type | Individual |
| Full Name | DR. PHEMELO B TSHANE |
| Credential | PHARMD |
| Practice Address |
701 W Broadway Ave Minneapolis MN 55411-2611 |
| Mailing Address |
1294 Fifield Pl Falcon Heights MN 55108-1103 |
| Practice Telephone | 6123028740 |
| Mailing Telephone | 6516468042 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 119580 | MN | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 16433 | MD | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | REGISTERED PHARMACIST LICENSE | 119580 | 01 |
| MD | REGISTERED PHARMACIST LICENSE | 16433 | 01 |
| Street Address |
701 W BROADWAY AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55411-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801901947 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 701 W Broadway Ave, Minneapolis, MN 55411-2611 | 2006-08-20 |
| 1396232724 | Rachel Elizabeth Rockwell | Pharmacist | 701 W Broadway Ave, Minneapolis, MN 55411-2611 | 2018-04-20 |
| 1851706998 | Amanda Pratt | Pharmacist | 701 W Broadway Ave, Minneapolis, MN 55411-2611 | 2014-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477101483 | Minnesota Mental Health Solutions | Social Worker | 1007 W Broadway Ave Ste 200, Minneapolis, MN 55411 | 2019-09-03 |
| 1154980233 | Access Group Home LLC | Home Health | 1122 Upton Ave N, Minneapolis, MN 55411 | 2019-06-11 |
| 1780036202 | Marcia Karen Powless | Registered Nurse | 2339 River Pointe Lane, Minneapolis, MN 55411 | 2016-07-08 |
| 1104287663 | Abdikarim Abdille | Contractor | 521 Lyn Park Cir N, Minneapolis, MN 55411 | 2016-03-11 |
| 1962801399 | Olu's Center | Clinic/Center | 1315 12th Ave N, Minneapolis, MN 55411 | 2014-08-21 |
| 1689086639 | Claudia Alejandra Patino Gonzalez | Student in an Organized Health Care Education/Training Program | 1020 West Broadway Avenue, Minneapolis, MN 55411 | 2014-05-27 |
| 1306283445 | Advanced Home Care | Home Health | 3000 Logan Ave N, Minneapolis, MN 55411 | 2013-05-30 |
| 1154766525 | Bassim Samadani Birkland | Student in an Organized Health Care Education/Training Program | Broadway Clinic, 1020 West Broadway, Minneapolis, MN 55411 | 2013-04-30 |
| 1720354004 | New Salem Metormorphosis Youth Program | Counselor | 2509 Bryant Ave North, Minneapolis, MN 55411 | 2012-03-30 |
| 1629387469 | Apose | Home Health | 2806 Girard Ave. North, Minneapolis, MN 55411 | 2010-09-28 |
| Find all providers in zip 55411 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1093335630 | Emebeat A Tibebu | Pharmacist | 818 Washington Ave Se, Minneapolis, MN 55414-3035 | 2020-04-23 |
| 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 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55411 |
Please comment or provide details below to improve the information on DR. PHEMELO B TSHANE.
| 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.