Individual provider Active NPI

Xoua Kue, PHARMD

  • Pharmacist
  • Robbinsdale, MN
National Provider Identifier
1154923241
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
122124 Issued in MN
Practice address
3505 Bottineau Blvd
Robbinsdale, MN 55422-6602
Phone
(612) 287-7201
Fax
(612) 287-7239
NPI assigned
Nov 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 122124 MN Primary

Addresses

Primary practice location

3505 Bottineau Blvd
Robbinsdale, MN 55422-6602

Mailing address

3505 Bottineau Blvd
Robbinsdale, MN 55422-6602
Phone (612) 287-7201

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address 1545pharmacydept@hyvee.com
Direct Messaging Address 1545pharmacydept@hyvee.com

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
122124MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1154923241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 BOTTINEAU BLVD",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554226602",
            "telephone_number": "612-287-7201",
            "fax_number": "612-287-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 BOTTINEAU BLVD",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554226602",
            "telephone_number": "612-287-7201",
            "fax_number": "612-287-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUE",
        "first_name": "XOUA",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1545pharmacydept@hyvee.com",
            "affiliation": "N",
            "address_1": "3505 Bottineau Blvd",
            "city": "Robbinsdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554226602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "1545pharmacydept@hyvee.com",
            "affiliation": "N",
            "address_1": "3505 Bottineau Blvd",
            "city": "Robbinsdale",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554226602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.