Active NPI
Sheri Ann Beaupre, PHARM D., RPH
- Pharmacist
- Eagan, MN
National Provider Identifier
1083200257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124475
- Practice address
- 1020 Diffley Rd
Eagan, MN 55123-1777 - Phone
- (651) 452-5500
- Fax
- (651) 452-3102
- NPI assigned
- Dec 11, 2020
- Last updated
- Dec 11, 2020
- 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 | 124475 | MN | Primary |
Addresses
Primary practice location
1020 Diffley Rd
Eagan, MN 55123-1777
Mailing address
744 Havenhill Rd
Eagan, MN 55123-1658
Phone (651) 261-7230
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124475 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1083200257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 HAVENHILL RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231658",
"telephone_number": "651-261-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 DIFFLEY RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551231777",
"telephone_number": "651-452-5500",
"fax_number": "651-452-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUPRE",
"first_name": "SHERI",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM D., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.