Active NPI
Anna Laurie Averbeck, PHARM/ D
- Pharmacist
- Coon Rapids, MN
National Provider Identifier
1114181724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119316
- Practice address
- 2050 Northdale Blvd NW
Coon Rapids, MN 55433-3036 - Phone
- (763) 754-9036
- Fax
- (763) 754-0867
- NPI assigned
- Jul 12, 2008
- 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 | 119316 | MN | Primary |
Addresses
Primary practice location
2050 Northdale Blvd NW
Coon Rapids, MN 55433-3036
Mailing address
2050 Northdale Blvd NW
Coon Rapids, MN 55433-3036
Phone (763) 754-9036
Other names 1
- Anna L Carlson
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
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1114181724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 NORTHDALE BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333036",
"telephone_number": "763-754-9036",
"fax_number": "763-754-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 NORTHDALE BLVD NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333036",
"telephone_number": "763-754-9036",
"fax_number": "763-754-0867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERBECK",
"first_name": "ANNA",
"middle_name": "LAURIE",
"name_prefix": "Dr.",
"credential": "PHARM/ D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-12",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "CARLSON",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.