Active NPI
Jeanine Asp, RPH
- Pharmacist
- Fridley, MN
National Provider Identifier
1174855092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114584
- Practice address
- 550 Osborne Rd NE
Fridley, MN 55432-2718 - Phone
- (763) 236-4123
- Fax
- (763) 236-4143
- NPI assigned
- Feb 2, 2010
- Last updated
- Feb 2, 2010
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 114584 | MN | Primary |
Addresses
Primary practice location
550 Osborne Rd NE
Fridley, MN 55432-2718
Mailing address
550 Osborne Rd NE
Fridley, MN 55432-2718
Phone (763) 236-4123
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114584 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1174855092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 OSBORNE RD NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322718",
"telephone_number": "763-236-4123",
"fax_number": "763-236-4143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 OSBORNE RD NE",
"city": "FRIDLEY",
"state": "MN",
"postal_code": "554322718",
"telephone_number": "763-236-4123",
"fax_number": "763-236-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASP",
"first_name": "JEANINE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-02",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fridley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.