Jennifer Sorman Gednalske, PHARM. D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

117455 Issued in MN

Practice address

550 Osborne Rd NE
Mail Code 52570
Fridley, MN 55432-2718

Phone

(763) 236-4123

NPI assigned

May 28, 2012

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

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488067200000",
    "number": "1124388863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6174 LINDA LN",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550146408",
            "telephone_number": "651-340-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OSBORNE RD NE",
            "address_2": "MAIL CODE 52570",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322718",
            "telephone_number": "763-236-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDNALSKE",
        "first_name": "JENNIFER",
        "middle_name": "SORMAN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2017-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "117455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard William Ramsay Garcia, DC
• Catherine Lillian Noemi Gardos Reid, LICSW
• Eric Keith Garnett, LADC
• Drew Gaurke, PA-C
• Asiya Abdulkadir Gazali
• Marcus Geffre
• Princess Gehyigon-Wallace
• Farhiya Mahamud Gelle I
• Dereje M Gemeda
• Sarah Elaine Gibson

• All providers in Fridley, MN
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; 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.