Kailene Perry, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

124226 Issued in MN

Practice address

1151 Silver Lake Rd NW
New Brighton, MN 55112-6324

Phone

(651) 746-2575

NPI assigned

Jul 3, 2019

Last updated

Jan 21, 2025By the provider in NPPES

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

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goodrich Pharmacy Inc

  dba Goodrich Pharmacy, Goodrich Clinical Services

  • Community/Retail Pharmacy
  • Anoka, MN
  • NPI 1346244274
  NPD (past)
• Goodrich Pharmacy, Inc.

  dba Goodrich Pharmacy LTC

  • Long Term Care Pharmacy
  • Anoka, MN
  • NPI 1457937773
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1346802816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 109TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551126324",
            "telephone_number": "651-746-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "KAILENE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "124226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenna Marie Payne, MA, LMFT
• Annette Lynn Pearson, MS, LADC, CBIS
• Brandon Thomas Pearson
• Matthew A Pehl, CRNA
• Jennifer Perri
• Abigail Joy Petersen
• Karie Petersen, LMFT
• Steven Michael Petry, DC
• Brittany Pfleghaar, MSED, PSYD
• Christopher Pfleghaar

• Ambulatory Care Pharmacist in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Ambulatory Care Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.