Theodore Glen Ranheim, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

110203 Issued in MN

Practice address

7131 Oak Pointe Curv
Bloomington, MN 55438-3403

Phone

(952) 941-3568

NPI assigned

Nov 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Theodore Glen Ranheim Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1215204094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 OAK POINTE CURV",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554383403",
            "telephone_number": "952-941-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 OAK POINTE CURV",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554383403",
            "telephone_number": "952-941-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANHEIM",
        "first_name": "THEODORE",
        "middle_name": "GLEN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "110203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THEODORE",
            "last_name": "RANHEIM",
            "middle_name": "GLEN",
            "prefix": "MR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Markuson Raleigh, MD
• Navya Ramesh
• Natalie Raming
• Cinthia Ramirez
• Karissa Ramsay
• Nasteho Mohamed Rashid
• Reem Q Rashid
• Jason Rasmussen
• Jessica Lee Rasmussen
• Linda Marie Rasmussen

• 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 Nov 22, 2011; 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.