Active NPI
Michele Medina, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- New Prague, MN
National Provider Identifier
1114856366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 116904
- Practice address
- 1413 7TH St NE
New Prague, MN 56071-8101 - Phone
- (952) 212-4024
- NPI assigned
- May 14, 2026
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 116904 | MN | Primary |
Addresses
Primary practice location
1413 7TH St NE
New Prague, MN 56071-8101
Mailing address
1413 7TH St NE
New Prague, MN 56071-8101
Phone (952) 212-4024
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116904 | MN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1114856366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 7TH ST NE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560718101",
"telephone_number": "952-212-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 7TH ST NE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560718101",
"telephone_number": "952-212-4024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "MICHELE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MN",
"license": "116904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Prague, MN
- Mayo Clinic Health System-Southwest Minnesota Region
- Mayo Clinic Health System-Southwest Minnesota Region
- Jennifer Ann McDonald
- Carmelle A McHarg, CRNA
- Renee Ann McNeill, R.N., C.N.P. C.N.M.
- Timothy J Miller, MD
- Mindful Moments Counseling, LLC
- Christopher Nic Moga, M.D.
- Mosaic Family Services, LTD.
- Ruth Syokau Mule
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.