Active NPI
Chantale Abuh Fonji
- Pharmacist
- Saint Paul, MN
National Provider Identifier
1245917806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125990
- Practice address
- 1700 Rice St
Saint Paul, MN 55113-6812 - Phone
- (651) 251-9811
- NPI assigned
- Jul 5, 2023
- Last updated
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 125990 | MN | Primary |
Addresses
Primary practice location
1700 Rice St
Saint Paul, MN 55113-6812
Mailing address
214 Capitol VW
Roseville, MN 55113-4733
Phone (612) 636-6083
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 |
|---|---|---|---|
| 125990 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1245917806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 CAPITOL VW",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134733",
"telephone_number": "612-636-6083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 RICE ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551136812",
"telephone_number": "651-251-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABUH FONJI",
"first_name": "CHANTALE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-05",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.