Kadiro Kadir Gelchu, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

126254 Issued in MN

Practice address

1440 University Ave W
Saint Paul, MN 55104-4012

Phone

(651) 646-8858

NPI assigned

Nov 20, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1043085194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 COUNTY ROAD B2 E APT 236",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171511",
            "telephone_number": "612-607-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044012",
            "telephone_number": "651-646-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELCHU",
        "first_name": "KADIRO",
        "middle_name": "KADIR",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Estelle Geisler, LPCC
• Pamela Katherine Geisser, LICSW
• Aliesha Geissler
• Colin L Geistfeld
• Concepter Nyasuguta Gekonge, APRN; FNP
• Greg Michael Gella
• Asia Mohamed Gelle
• Hamza Gelle
• Idil Gelle
• Gary Richard Geller, M.D.

• Pharmacist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.