Active NPI
Subhashri Ram
- Pharmacist
- Plymouth, MN
National Provider Identifier
1194320218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118212
- Practice address
- 10200 6TH Ave N
Plymouth, MN 55441-6399 - Phone
- (763) 545-1916
- NPI assigned
- Dec 4, 2020
- 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 | 118212 | MN | Primary |
Addresses
Primary practice location
10200 6TH Ave N
Plymouth, MN 55441-6399
Mailing address
6387 Kingsview LN N
Maple Grove, MN 55311-4130
Phone (952) 994-1057
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 |
|---|---|---|---|
| 118212 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1194320218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6387 KINGSVIEW LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553114130",
"telephone_number": "952-994-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 6TH AVE N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554416399",
"telephone_number": "763-545-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAM",
"first_name": "SUBHASHRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.