Abigale Kalis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

124457 Issued in MN

Practice address

10881 University Ave NE
Blaine, MN 55434-8032

Phone

(763) 767-8271

NPI assigned

Dec 20, 2020

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • Blaine, MN
  • NPI 1235681958
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1093301434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10881 UNIVERSITY AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554348032",
            "telephone_number": "763-767-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10881 UNIVERSITY AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554348032",
            "telephone_number": "763-767-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIS",
        "first_name": "ABIGALE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Kay Jones, BFA,MS,D.O.M.,L.AC.
• Kira Jorgensen Duus, PA-C
• Dennis Taylor Jorgenson-Rathke, PA-C
• Elizabeth Josiah
• Michelle Maria Kaess, PHARMD
• Terrance Cooper Kamara
• Watta Kamara
• Rachael Mutio Kanyugi
• Sarah Joy Karman
• Lassanah Karneh

• Pharmacist in Blaine, MN
• Providers in Blaine, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.