Individual provider Active NPI

Cassandra Saunders, PHARMD

  • Pharmacist
  • Forest Lake, MN
National Provider Identifier
1265190664
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
125473 Issued in MN
Practice address
1420 Lake St S Ste 100
Forest Lake, MN 55025-2714
Phone
(651) 464-5518
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 125473 MN Primary

Addresses

Primary practice location

1420 Lake St S Ste 100
Forest Lake, MN 55025-2714

Mailing address

1806 133Rd LN NE
Ham Lake, MN 55304-7005
Phone (651) 276-7979

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pic773@thriftywhite.com Direct THRIFTY DRUG STORES INC

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

LicenseStateTypeSpecialty
125473MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1265190664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 133RD LN NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553047005",
            "telephone_number": "651-276-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LAKE ST S STE 100",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252714",
            "telephone_number": "651-464-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUNDERS",
        "first_name": "CASSANDRA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pic773@thriftywhite.com",
            "affiliation": "Y",
            "endpointDescription": "PIC email for current position",
            "affiliationName": "THRIFTY DRUG STORES INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1420 Lake St S Ste 100",
            "city": "Forest Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550252714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.