Active NPI
VA Vang, PHARMD
- Pharmacist
- Anoka, MN
National Provider Identifier
1275148306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123068
- Practice address
- 3605 Round Lake Blvd NW
Anoka, MN 55303-5003 - Phone
- (763) 252-0751
- NPI assigned
- Sep 15, 2020
- Last updated
- Apr 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 123068 | MN | Primary |
Addresses
Primary practice location
3605 Round Lake Blvd NW
Anoka, MN 55303-5003
Mailing address
3255 Vicksburg LN N
Plymouth, MN 55447-1317
Phone (763) 253-8917
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 |
|---|---|---|---|
| 123068 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3605 Round Lake Blvd NW
Anoka, MN 55303
Phone (763) 252-0751
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": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1275148306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3255 VICKSBURG LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554471317",
"telephone_number": "763-253-8917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 ROUND LAKE BLVD NW",
"city": "ANOKA",
"state": "MN",
"postal_code": "553035003",
"telephone_number": "763-252-0751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANG",
"first_name": "VA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-15",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.