Nevil Nuvala Genjang

Primary specialty

PharmacistTaxonomy code 183500000X

License

126228 Issued in MN

Practice address

3001 Metro Dr Ste 260
Bloomington, MN 55425-1548

Phone

(952) 324-5713

Fax

(952) 378-2860

NPI assigned

Sep 7, 2023

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community-Connect Home Care LLC

  • Home Health Agency
  • Bloomington, MN
  • NPI 1063365922
  NPD (past) Authorized official
• Community-Connect Home Care LLC

  • Home Health Agency
  • Bloomington, MN
  • NPI 1316744196
  NPD (past) Authorized official
• Walgreen Co

  • Pharmacy
  • Lakeville, MN
  • NPI 1841206489
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1235915968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17891 ELDER AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444984",
            "telephone_number": "952-324-5713",
            "fax_number": "952-378-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 METRO DR STE 260",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251548",
            "telephone_number": "952-324-5713",
            "fax_number": "952-378-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15560 Pilot Knob Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551248160",
            "country_code": "US",
            "telephone_number": "952-236-3166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENJANG",
        "first_name": "NEVIL",
        "middle_name": "NUVALA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel R Gelinas, D.O.
• Deko B Gelle
• Fathi Abdikarim Gelle
• General Care LLC
• Todd Roger Gengerke, M.D.
• Gentle Dentistry of Bloomington PLLC
• Gentle Guardians LLC
• Gideon H George
• Gerald a Madir
• Nathaniel Gerdes

• 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 Feb 27, 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.