Active NPI
Debra Rae Yndestad, PHARM. D.
- Pharmacist
- Apple Valley, MN
National Provider Identifier
1306132741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114079
- Practice address
- 15560 Pilot Knob Rd
Apple Valley, MN 55124-7286 - Phone
- (952) 236-3166
- Fax
- (952) 236-3176
- NPI assigned
- Jun 23, 2011
- 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 | 114079 | MN | Primary |
Addresses
Primary practice location
15560 Pilot Knob Rd
Apple Valley, MN 55124-7286
Mailing address
15560 Pilot Knob Rd
Apple Valley, MN 55124-7286
Phone (952) 236-3166
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 |
|---|---|---|---|
| 114079 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1306132741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15560 PILOT KNOB RD",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247286",
"telephone_number": "952-236-3166",
"fax_number": "952-236-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15560 PILOT KNOB RD",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551247286",
"telephone_number": "952-236-3166",
"fax_number": "952-236-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YNDESTAD",
"first_name": "DEBRA",
"middle_name": "RAE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.