Ken L Henjum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

110878-1 Issued in MN

Practice address

1299 Promenade PL
Eagan, MN 55121-2293

Phone

(651) 209-2974

Fax

(651) 209-2979

NPI assigned

Dec 19, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215913405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12722 DOVER DR",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551248652",
            "telephone_number": "952-393-5962",
            "fax_number": "651-209-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PROMENADE PL",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551212293",
            "telephone_number": "651-209-2974",
            "fax_number": "651-209-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENJUM",
        "first_name": "KEN",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "110878-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.