Active NPI
Emily Skjeveland
- Pharmacist
- Burnsville, MN
National Provider Identifier
1336894534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125230
- Practice address
- 1750 County Road 42 W
Burnsville, MN 55337-6200 - Phone
- (952) 892-6262
- NPI assigned
- Feb 16, 2022
- Last updated
- Feb 16, 2022
- Sex
- Male
- 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 | 125230 | MN | Primary |
Addresses
Primary practice location
1750 County Road 42 W
Burnsville, MN 55337-6200
Mailing address
1750 County Road 42 W
Burnsville, MN 55337-6200
Phone (952) 892-6262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125230 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Current | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Locations
1750 County Road 42 W
Burnsville, MN 55337
Phone (952) 800-0988
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1336894534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 COUNTY ROAD 42 W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376200",
"telephone_number": "952-892-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 COUNTY ROAD 42 W",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553376200",
"telephone_number": "952-892-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKJEVELAND",
"first_name": "EMILY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-16",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.