Active NPI
Ruth Nyakundi
- Pharmacist
- Apple Valley, MN
National Provider Identifier
1144697905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122751
- Practice address
- 7835 150TH St W
Apple Valley, MN 55124-7181 - Phone
- (952) 431-9703
- NPI assigned
- Aug 27, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP0009363 | WV | |
| Pharmacist | 183500000X | 122751 | MN | Primary |
Addresses
Primary practice location
7835 150TH St W
Apple Valley, MN 55124-7181
Mailing address
7835 150TH St W
Apple Valley, MN 55124-7181
Other practice location 1
2300 MacCorkle Ave SE
Charleston, WV 25304-1045
Phone (304) 357-4795
Other practice location 2
2300 MacCorkle Ave SE
Charleston, WV 25304-1045
Phone (304) 357-4795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122751 | Other | MN | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122751 | MN | MD | Pharmacist |
| RP0009363 | WV | 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": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1144697905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7835 150TH ST W",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7835 150TH ST W",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247181",
"telephone_number": "952-431-9703"
}
],
"practiceLocations": [
{
"address_1": "2300 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041045",
"country_code": "US",
"telephone_number": "304-357-4795",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 MacCorkle Ave SE",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041045",
"country_code": "US",
"telephone_number": "304-357-4795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NYAKUNDI",
"first_name": "RUTH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WV",
"license": "RP0009363",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122751",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "122751",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.