Tony Zoovdue Yalo

Primary specialty

PharmacistTaxonomy code 183500000X

License

124118 Issued in MN

Practice address

100 County Road B W
Maplewood, MN 55117-1931

Phone

(651) 489-6271

Fax

(651) 487-0966

NPI assigned

Dec 29, 2020

Sex

Male

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.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • Maplewood, MN
  • NPI 1407961543
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1285221895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 CYPRESS ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091935",
            "telephone_number": "651-338-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COUNTY ROAD B W",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551171931",
            "telephone_number": "651-489-6271",
            "fax_number": "651-487-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YALO",
        "first_name": "TONY",
        "middle_name": "ZOOVDUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Xiong
• Mai Tong Xiong
• Neela Xiong
• PA Houa Xiong
• Seng Xiong, OWNER
• Christopher Z Yang
• Daisy Yang
• David Yang
• Ka Ying Yang
• Maykia Nina Yang

• Pharmacist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.