Active NPI
Maria Maksimovna Myers, PHARMD
- Pharmacist
- Eagan, MN
National Provider Identifier
1265028385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124160
- Practice address
- 1940 Cliff Lake Rd
Eagan, MN 55122-2492 - Phone
- (651) 454-5150
- NPI assigned
- Dec 13, 2020
- Last updated
- Nov 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 124160 | MN | Primary |
| Pharmacist | 183500000X | PS55191 | FL |
Addresses
Primary practice location
1940 Cliff Lake Rd
Eagan, MN 55122-2492
Mailing address
1940 Cliff Lake Rd
Eagan, MN 55122-2492
Phone (651) 454-5150
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS55191 | FL | MD | Pharmacist |
| 124160 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 3
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": "1607817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762646400000",
"number": "1265028385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 CLIFF LAKE RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222492",
"telephone_number": "651-454-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 CLIFF LAKE RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222492",
"telephone_number": "651-454-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "MARIA",
"middle_name": "MAKSIMOVNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-13",
"last_updated": "2025-11-09",
"certification_date": "2025-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124160",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS55191",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.