Active NPI
Nicole Rose Lind
- Pharmacist
- Saint Cloud, MN
National Provider Identifier
1215688734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122928
- Practice address
- 1001 4TH St SE
Saint Cloud, MN 56304-1297 - Phone
- (320) 258-0155
- Fax
- (320) 258-0152
- NPI assigned
- Jan 17, 2022
- Last updated
- Jan 17, 2022
- 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 | 122928 | MN | Primary |
Addresses
Primary practice location
1001 4TH St SE
Saint Cloud, MN 56304-1297
Mailing address
1413 Lavender Ave
Sartell, MN 56377-4830
Phone (218) 204-0827
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 |
|---|---|---|---|
| 122928 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1215688734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 LAVENDER AVE",
"city": "SARTELL",
"state": "MN",
"postal_code": "563774830",
"telephone_number": "218-204-0827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 4TH ST SE",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563041297",
"telephone_number": "320-258-0155",
"fax_number": "320-258-0152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIND",
"first_name": "NICOLE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.