Active NPI
Marsha Katherine Millonig, BS, MBA
- Pharmacist
- Eagan, MN
National Provider Identifier
1336271998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 113665-6
- Practice address
- 3153 Doneene LN
Eagan, MN 55121-1172 - Phone
- (651) 905-9002
- Fax
- (651) 905-9004
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 113665-6 | MN | Primary |
Addresses
Primary practice location
3153 Doneene LN
Eagan, MN 55121-1172
Mailing address
3153 Doneene LN
Eagan, MN 55121-1172
Phone (651) 905-9002
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
- Bachelor of Science, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113665-6 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382054400000",
"number": "1336271998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3153 DONEENE LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211172",
"telephone_number": "651-905-9002",
"fax_number": "651-905-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3153 DONEENE LN",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211172",
"telephone_number": "651-905-9002",
"fax_number": "651-905-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLONIG",
"first_name": "MARSHA",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "BS, MBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2013-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "113665-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.