Active NPI
Ira Leon Finch Jr.
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1164937926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113872
- Practice address
- 1839 Nicollet Ave
Minneapolis, MN 55403-3745 - Phone
- (612) 823-2947
- Fax
- (612) 823-2947
- NPI assigned
- Dec 2, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 113872 | MN | Primary |
Addresses
Primary practice location
1839 Nicollet Ave
Minneapolis, MN 55403-3745
Mailing address
1839 Nicollet Ave
Minneapolis, MN 55403-3745
Phone (612) 823-2947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113872 | Other | MN | MINNESOTA BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 113872 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Value Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Minneapolis, MN
- NPI 1851843478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1164937926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033745",
"telephone_number": "612-823-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033745",
"telephone_number": "612-823-2947",
"fax_number": "612-823-2947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINCH",
"first_name": "IRA",
"middle_name": "LEON",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-02",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF PHARMACY",
"identifier": "113872",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.