Mary Jo Vierkant, PHARMD, MED, BS

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

120058 Issued in MN

Practice address

3300 Oakdale Avenue North
North Memorial Medical Center Pharmacy
Robbinsdale, MN 55422

Phone

(763) 520-5200

Fax

(763) 520-4926

NPI assigned

Aug 13, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Education, Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1053626028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVENUE NORTH",
            "address_2": "NORTH MEMORIAL MEDICAL CENTER PHARMACY",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "fax_number": "763-520-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 OAKDALE AVENUE NORTH",
            "address_2": "NORTH MEMORIAL MEDICAL CENTER PHARMACY",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "55422",
            "telephone_number": "763-520-5200",
            "fax_number": "763-520-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERKANT",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "PHARMD, MED, BS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120058",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "120058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Varghese, D.O.
• Allison R Vatne, RDN, LD
• Lemuel R Vawter, MD
• Nancy Veches, OTA
• Zoe G Verkerke
• Villas at Robbinsdale LLC
• Vital Steps LLC
• Brandon Lawrence Voges
• Rita S Volp, PA
• Martin Robert Von Iderstine

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Robbinsdale, MN
• Providers in Robbinsdale, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.