Michael Ray Allen, PHARMD
Individual provider Active NPI Pharmacist · Minneapolis, MN
NPI 1093449779 · NPPES record last updated Jul 11, 2022
Key facts
- NPI
- 1093449779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 125347 (MN)
- Practice address
- 920 E 28TH St # H2005
Minneapolis, MN 55407-1139 - Phone
- (612) 775-3141
- Fax
- (612) 775-3150
- NPI assigned
- Jul 11, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125347 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 125347 | MN | Yes |
Addresses
Primary practice location
920 E 28TH St # H2005
Minneapolis, MN 55407-1139
Mailing address
920 E 28TH St # H2005
Minneapolis, MN 55407-1139
Phone (612) 775-3141
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.