Individual provider Active NPI

Erin Kraemer Suomala, PHARMD

  • Pharmacist
  • Lino Lakes, MN
National Provider Identifier
1124434451
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
121736 Issued in MN
Practice address
391 Arrowhead Dr
Lino Lakes, MN 55014-7009
Phone
(320) 420-0748
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 121736 MN Primary

Addresses

Primary practice location

391 Arrowhead Dr
Lino Lakes, MN 55014-7009

Mailing address

391 Arrowhead Dr
Lino Lakes, MN 55014-7009
Phone (320) 420-0748

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

LicenseStateTypeSpecialty
121736MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1124434451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 ARROWHEAD DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550147009",
            "telephone_number": "320-420-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 ARROWHEAD DR",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550147009",
            "telephone_number": "320-420-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUOMALA",
        "first_name": "ERIN",
        "middle_name": "KRAEMER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lino Lakes, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.