Active NPI
Mikhail G Epshteyn, PHARM.D.
- Pharmacist
- Golden Valley, MN
National Provider Identifier
1174640395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117051
- Practice address
- 1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286 - Phone
- (763) 302-8323
- NPI assigned
- Mar 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 | 117051 | MN | Primary |
Addresses
Primary practice location
1300 Hidden Lakes Pkwy
Golden Valley, MN 55422-4286
Mailing address
18890 Concord St NW
Elk River, MN 55330-1118
Phone (763) 633-0942
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117051 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174640395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18890 CONCORD ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301118",
"telephone_number": "763-633-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 HIDDEN LAKES PKWY",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224286",
"telephone_number": "763-302-8323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSHTEYN",
"first_name": "MIKHAIL",
"middle_name": "G",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, MN
- Mary Ellen Emmeck, MA, LMFT
- Empowered Behavioral and Clinical Services LLC
- Endovascular Physicians of Minnesota PLLC (North Star Vascular and Interventional)
- John England
- Epona Wellness, LTD (Epona Wellness)
- Caryn Faith Erickson, OTR/L
- Elise Irene Erickson, DPT
- Katrina Leigh Erickson, OTR/L
- Lynn Annette Erickson, PT
- Sonya Kay Erickson, OTR L
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.