Kelli Pomerenke

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

728552 Issued in MN

Practice address

550 Vandalia St
Saint Paul, MN 55114-1833

Phone

(844) 532-3546

NPI assigned

Sep 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1073060455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 MARMON ST NE",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550141547",
            "telephone_number": "612-384-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 VANDALIA ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141833",
            "telephone_number": "844-532-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERENKE",
        "first_name": "KELLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "728552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Renae Pollard, LPCC
• Tobias Benjamin Polley
• Judson B. Pollock, M.D.
• Shannon Pollreis-Gottschalk, MA
• Carly Polzin, MS, CGC
• Fred Willis Pomeroy, DVM, ND
• Dinel Pond, M.S., C.G.C.
• Julia Ponder, DVM
• Corrine Ann Poole, MSW, LICSW
• Naomi Poole, MSW, LICSW

• Pharmacy Technician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pharmacy Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.