Jennifer Ann Liane

Primary specialty

PharmacistTaxonomy code 183500000X

License

123448 Issued in MN

Practice address

6800 Bass Lake Rd
Crystal, MN 55428-3935

Phone

(763) 533-5804

NPI assigned

Aug 20, 2020

Sex

Female

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.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1285246330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283935",
            "telephone_number": "763-533-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 BASS LAKE RD",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283935",
            "telephone_number": "763-533-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIANE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yehudis Rena Last
• Luca Oliver Lavallee
• Stephanie Albrecht Lee, PHYSICIAN ASSISTANT
• Lisa Legvold, PA-C
• William Leon, D.D.S.
• Lionsgate Academy
• Liborio L Lira, M.D.
• Ann Margaret Lish-Mitch, O.T.R.
• Connor Litfin
• Loving Homes Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.