Individual provider Active NPI

Tetiana Lobzun

  • Pharmacist
  • Andover, MN
National Provider Identifier
1295645620
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
127530 Issued in MN
Practice address
13946 Palm St NW
Andover, MN 55304-4131
Phone
(612) 481-6259
NPI assigned
Sep 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 127530 MN Primary

Addresses

Primary practice location

13946 Palm St NW
Andover, MN 55304-4131

Mailing address

13946 Palm St NW
Andover, MN 55304-4131
Phone (612) 481-6259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1295645620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13946 PALM ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044131",
            "telephone_number": "612-481-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13946 PALM ST NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044131",
            "telephone_number": "612-481-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBZUN",
        "first_name": "TETIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andover, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.