Active NPI
Valerie Ann Pilgrim, PHARMD
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1043683469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115957
- Practice address
- 2860 Jordan Dr
Saint Paul, MN 55125-2833 - Phone
- (651) 714-9165
- NPI assigned
- Nov 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 115957 | MN | Primary |
Addresses
Primary practice location
2860 Jordan Dr
Saint Paul, MN 55125-2833
Mailing address
2860 Jordan Dr
Woodbury, MN 55125-2833
Phone (651) 442-3393
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 |
|---|---|---|---|
| 115957 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1043683469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 JORDAN DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252833",
"telephone_number": "651-442-3393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 JORDAN DR",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551252833",
"telephone_number": "651-714-9165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILGRIM",
"first_name": "VALERIE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.