Active NPI
Rahel Kitilla
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1063875441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122064
- Practice address
- 245 Maryland Ave E
Saint Paul, MN 55117-4617 - Phone
- (651) 488-6781
- NPI assigned
- Apr 1, 2016
- 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 | 122064 | MN | Primary |
Addresses
Primary practice location
245 Maryland Ave E
Saint Paul, MN 55117-4617
Mailing address
3920 Hoffman Rd Apt 11
White Bear Lake, MN 55110-4657
Phone (612) 532-5385
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 |
|---|---|---|---|
| 122064 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1063875441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 HOFFMAN RD APT 11",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551104657",
"telephone_number": "612-532-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MARYLAND AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551174617",
"telephone_number": "651-488-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITILLA",
"first_name": "RAHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-01",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122064",
"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 Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.