BRENDA MARIE PEDERSON (NPI# 1801118955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801118955 |
Entity Type | Individual |
Full Name | BRENDA MARIE PEDERSON |
Credential | RPH |
Practice Address |
6616 Union Lake Trl Lonsdale MN 55046-4324 |
Practice Telephone | 5077442958 |
Practice Fax Number | 5077445894 |
Mailing Telephone | 5077442958 |
Mailing Fax Number | 5077445894 |
Enumeration Date | 2010-02-17 |
Last Update Date | 2010-02-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
114314 | MN | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | PHARMACIST LICENSE NUMBER | 114314 | 01 |
Street Address |
6616 UNION LAKE TRL |
City | LONSDALE |
State | MN |
Zip Code | 55046-4324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043672363 | Alex Michael Turgeon | Specialist/Technologist | 213 Tomah Court, Lonsdale, MN 55046 | 2016-03-25 |
1134350887 | Three Links Management Services, LLC | Assisted Living Facility | 1000 Birch St Ne, Lonsdale, MN 55046 | 2009-07-29 |
1992755771 | Greig H Glover | Emergency Medicine | 103 15th Ave Se, Lonsdale, MN 55046 | 2006-05-11 |
1053393777 | Red Wing Health Center, LLC | Skilled Nursing Facility | 1412 West 4th Street, Red Wing, MN 55046 | 2005-11-17 |
1538196035 | Northfield Hospital | Clinic/Center | 103 15th Ave Se, Lonsdale, MN 55046 | 2006-06-28 |
1154586634 | Lonsdale Chiropractic | Chiropractor | 100 Main St So, Lonsdale, MN 55046-0162 | 2008-07-23 |
1699854513 | Bruce H Lieske | Chiropractor | 100 Main Street South, Lonsdale, MN 55046-0162 | 2006-11-02 |
1275923856 | William Raymond Lieske | Chiropractor | 100 Main Street South, Lonsdale, MN 55046-0162 | 2015-02-03 |
1700948577 | Rhonda Lynn Meyer | Nurse Practitioner | 103-15th Ave Se, Family Health Medical Clinic Lonsdale, Lonsdale, MN 55046-5001 | 2006-12-15 |
1154885044 | Advanced Foot & Ankle Clinic LLP | Podiatrist | 103 15th Ave Se, Lonsdale, MN 55046-5001 | 2019-01-25 |
Find all providers in zip 55046 |
Taxonomy Code | 1835G0303X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Geriatric |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891301768 | Brian Haug | Pharmacist | 12083 Scenic River Dr, Baxter, MN 56425-8399 | 2020-09-16 |
1659856094 | William Frank Vouk IIi | Pharmacist | 1017 N 19th Ave E, Duluth, MN 55812-1127 | 2018-10-02 |
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 |
1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
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 |
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 |
Find all providers with the same taxonomy |
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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.