Active NPI
Ranae Marie Spore, PHARMACY TEC.
- Pharmacy Technician
- Starbuck, MN
National Provider Identifier
1174528855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 700468-5
- Practice address
- 406 8 1/2 Street
Starbuck, MN 56381-0154 - Phone
- (320) 239-2246
- Fax
- (320) 239-2296
- NPI assigned
- Jun 17, 2005
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 700468-5 | MN | Primary |
Addresses
Primary practice location
406 8 1/2 Street
Starbuck, MN 56381-0154
Mailing address
PO Box 154
Starbuck, MN 56381-0154
Phone (320) 239-2246
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 |
|---|---|---|---|
| 700468-5 | MN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174528855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "STARBUCK",
"state": "MN",
"postal_code": "563810154",
"telephone_number": "320-239-2246",
"fax_number": "320-239-2296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 8 1/2 STREET",
"city": "STARBUCK",
"state": "MN",
"postal_code": "563810154",
"telephone_number": "320-239-2246",
"fax_number": "320-239-2296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPORE",
"first_name": "RANAE",
"middle_name": "MARIE",
"credential": "PHARMACY TEC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": "700468-5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starbuck, MN
- Gregory Paul Rapp, PA-C
- Brittany Roers, LPCC
- Donald Allan Samuelson, RPH
- John Theodore Samuelson, PHARMACIST
- Nancy V Samuelson
- Starbuck Clinic PLLC
- Renea L Steenblock, PT
- Stevens Community Medical Center Inc (Starbuck Clinic)
- Stevens Community Medical Center Inc. (Starbuck Clinic)
- Sheila Marie Swartz, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.