Todd A Warren, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

115324 Issued in MN

Practice address

11992 Eldorado St NE
Blaine, MN 55449-7906

Phone

(763) 755-1676

NPI assigned

Jan 7, 2021

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1366030082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11992 ELDORADO ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497906",
            "telephone_number": "763-755-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11992 ELDORADO ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497906",
            "telephone_number": "763-755-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "115324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #07218)
• Olivia Marie Walls, MA, LMFT
• Walmart Inc. (WalMart Pharmacy 10-5976)
• Craig Stuart Walvatne, M.D.
• Cherrill A Warren, RPH
• Kalid Warsame
• Maryan Warsame
• Reyan Abdiaziz Warsame
• Watershed Psychological Services
• Jennifer Caroline Weier, CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Blaine, MN
• Providers in Blaine, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.