JODIE LITTLE


Address: 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811
Phone: 2187277139

JODIE LITTLE (NPI# 1679990857) 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) 1679990857
Entity Type Individual
Full Name JODIE LITTLE
Credential PHARM.D., CGP
Practice Address 801 W. Central Entrance
Shopko Pharmacy 2114
Duluth
MN 55811
Practice Telephone 2187277139
Practice Fax Number 2187276240
Mailing Telephone 2187277139
Mailing Fax Number 2187276240
Enumeration Date 2014-03-25
Last Update Date 2014-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
116055 MN Pharmacy Service Providers

Office Location

Street Address 801 W. CENTRAL ENTRANCE
SHOPKO PHARMACY 2114
City DULUTH
State MN
Zip Code 55811

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1184288979 Pdg, P.a. Clinic/Center 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 2019-04-26
1528589843 Breanna Joy Greenly Counselor 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 2017-06-28
1396102398 Debbie Christian Registered Nurse 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 2016-01-21
1831556935 Megan Marie Paris Psychologist 715 East Central Entrance, Duluth, MN 55811 2016-01-20
1740666908 Angela Fedo Physical Therapy Assistant 2101 Trinity Rd, Duluth, MN 55811 2015-08-10
1649657479 Kayla Stephenson Specialist/Technologist 5024 Morris Thomas Road, Hermantown, MN 55811 2015-04-30
1073918843 Northern Lives Inc. Assisted Living Facility 4014 Trinity Road, Duluth, MN 55811 2014-10-23
1114326238 Donald Hermanson Specialist/Technologist 801 Boulder Drive, Apt. 202, Duluth, MN 55811 2014-08-14
1386089654 Megan Martin Physical Therapy Assistant 2501 Rice Lake Road, Duluth, MN 55811 2013-05-01
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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659856094 William Frank Vouk IIi Pharmacist 1017 N 19th Ave E, Duluth, MN 55812-1127 2018-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891301768 Brian Haug Pharmacist 12083 Scenic River Dr, Baxter, MN 56425-8399 2020-09-16
1962994186 Neil Peter Thompson Pharmacist 4048 19th Ave S, Minneapolis, MN 55407-3402 2018-06-04
1154822617 John Travis Hansen Pharmacist 40 Crusader Ave W, West St Paul, MN 55118-4425 2018-02-21
1104325075 Patty Ann Doyle Pharmacist 8712 Sandro Rd, Bloomington, MN 55438-1229 2018-02-06
1043581416 Matthew John Schille Pharmacist 1509 10th Ave South, Suite 16, Minneapolis, MN 55404 2012-01-18
1477834976 Richard Allen Hasher Pharmacist 425 Wabasha St N, Saint Paul, MN 55102-1108 2011-08-30
1801118955 Brenda Marie Pederson Pharmacist 6616 Union Lake Trl, Lonsdale, MN 55046-4324 2010-02-17
1437211141 Dean Ray Schmiedt Pharmacist 24411 147th Ave, Fort Ripley, MN 56449-2107 2006-12-16
1942763834 Stephanie Loegering Pharmacist 430 W State Highway 5, Waconia, MN 55387-1723 2019-04-09
1932444957 Debra Deann Leyes Pharmacist 5101 Minnehaha Ave, Minneapolis, MN 55417-1647 2012-12-02
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Competitor

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City DULUTH
Zip Code 55811

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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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