Active NPI
Denise Michelle Stanley
- Pharmacist
- Arden Hills, MN
National Provider Identifier
1346836723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 188298
- Practice address
- 3717 Lexington Ave N
Arden Hills, MN 55126-3081 - Phone
- (651) 483-1504
- NPI assigned
- Dec 18, 2020
- 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 | 188298 | MN | Primary |
Addresses
Primary practice location
3717 Lexington Ave N
Arden Hills, MN 55126-3081
Mailing address
3717 Lexington Ave N
Arden Hills, MN 55126-3081
Phone (651) 483-1504
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 |
|---|---|---|---|
| 188298 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1346836723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 LEXINGTON AVE N",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551263081",
"telephone_number": "651-483-1504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 LEXINGTON AVE N",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551263081",
"telephone_number": "651-483-1504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "DENISE",
"middle_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "188298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arden Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.