Stefanie L Nyman, PHARMD, MPA

Primary specialty

PharmacistTaxonomy code 183500000X

License

119583 Issued in MN

Practice address

3916 W Old Shakopee Rd
Bloomington, MN 55437-2945

Phone

(952) 252-1062

NPI assigned

Aug 27, 2009

Last updated

Mar 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1215160056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372945",
            "telephone_number": "952-252-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 W OLD SHAKOPEE RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372945",
            "telephone_number": "952-252-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "STEFANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PHARMD, MPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119583",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20813",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ubah Mohamud Nur
• Zakriye Mohamed Nur
• Justin Nwosu
• Gale G Nyberg, PT
• Karmen Nyberg, OTR/L
• Paul C Nystrom, M.D.
• John O'Brien, LICSW
• Patrick J O'Brien, M.D.
• Angela O'Donnell, CNM, APRN
• Elizabeth Ann O'Leary, M.D., M.H.S.

• Pharmacist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.