Active NPI
Sangeetha Nair Chandrasekaran Lakshmikutty
- Pharmacist
- Lakeville, MN
National Provider Identifier
1164095774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125165
- Practice address
- 20710 Keokuk Ave
Lakeville, MN 55044-6620 - Phone
- (612) 354-5934
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 183500000X | 125165 | MN | Primary |
Addresses
Primary practice location
20710 Keokuk Ave
Lakeville, MN 55044-6620
Mailing address
20710 Keokuk Ave
Lakeville, MN 55044-6620
Phone (612) 354-5934
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 |
|---|---|---|---|
| 125165 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1164095774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20710 KEOKUK AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446620",
"telephone_number": "612-354-5934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20710 KEOKUK AVE",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446620",
"telephone_number": "612-354-5934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKARAN LAKSHMIKUTTY",
"first_name": "SANGEETHA NAIR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.