Active NPI
Joseph Vargo
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- St Louis Park, MN
National Provider Identifier
1043729908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 122833
- Practice address
- 5801 W 16TH St
St Louis Park, MN 55416-1446 - Phone
- (763) 582-9602
- NPI assigned
- Sep 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 122833 | MN | Primary |
| Pharmacist | 183500000X | 122833 | MN |
Addresses
Primary practice location
5801 W 16TH St
St Louis Park, MN 55416-1446
Mailing address
1259 Brookfield CT NE
Byron, MN 55920-1577
Phone (608) 769-3799
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122833 | MN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663459200000",
"number": "1043729908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 BROOKFIELD CT NE",
"city": "BYRON",
"state": "MN",
"postal_code": "559201577",
"telephone_number": "608-769-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 W 16TH ST",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161446",
"telephone_number": "763-582-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-22",
"last_updated": "2022-09-18",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MN",
"license": "122833",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122833",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.