Active NPI
Lisa Krohn, PHARMD
- Pharmacist
- Shakopee, MN
National Provider Identifier
1043650104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121248
- Practice address
- 1415 Saint Francis Ave
Shakopee, MN 55379-3374 - Phone
- (952) 993-4342
- Fax
- (952) 993-7754
- NPI assigned
- Jul 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 121248 | MN | Primary |
Addresses
Primary practice location
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Mailing address
1415 Saint Francis Ave
Shakopee, MN 55379-3374
Phone (952) 993-4342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121248 | Other | MN | MINNESOTA LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121248 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1043650104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 SAINT FRANCIS AVE",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793374",
"telephone_number": "952-993-4342",
"fax_number": "952-993-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 SAINT FRANCIS AVE",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793374",
"telephone_number": "952-993-4342",
"fax_number": "952-993-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROHN",
"first_name": "LISA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-03",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA LICENSE NUMBER",
"identifier": "121248",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.