Andrea Marie Cuneo, PHARMD
Individual provider Active NPI Pharmacy · Shakopee, MN
NPI 1366067936 · NPPES record last updated Jun 10, 2020
Key facts
- NPI
- 1366067936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy 333600000X
- License
- 121383 (MN)
- Practice address
- 1291 Tasha Dr
Shakopee, MN 55379-4425 - Phone
- (952) 233-3611
- NPI assigned
- Jun 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121383 | MN | MD | Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Pharmacy | Past |
Accepting new patients |
| Walgreen Co | Pharmacy | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 121383 | MN | Yes |
Addresses
Primary practice location
1291 Tasha Dr
Shakopee, MN 55379-4425
Mailing address
8109 Pennsylvania Rd
Bloomington, MN 55438-1136
Phone (952) 807-5938
Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.