Jessica Thelemann

Primary specialty

PharmacistTaxonomy code 183500000X

License

123925 Issued in MN

Practice address

4220 Lexington Ave S
Eagan, MN 55123-1975

Phone

(651) 686-1090

NPI assigned

Sep 14, 2020

Sex

Female

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

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.

• Walgreen Co

  • Pharmacy
  • Eagan, MN
  • NPI 1154337798
  NPD (past)
• Walgreen Co

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

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1245845478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 LEXINGTON AVE S",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231975",
            "telephone_number": "651-686-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 LEXINGTON AVE S",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231975",
            "telephone_number": "651-686-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEMANN",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Dental Center of Eagan
• The Dental Specialists of Minnesota, PLLC
• The Divergent Grove Therapy LLC
• Tressa Theis, M.S., CCC-SLP
• Shaylin Theisen, MS OTR/L
• Amy Marie Thesing, APRN, CNP
• Amanda Tuttle Thielen, PT
• Mercedes Thiono
• Lindsay Anne Thomas, RD, LD, CDE
• Todd Mitchell Thomas

• 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 Sep 14, 2020; 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.