Active NPI
Cynthia Kay Flake, PHARM D
- Pharmacist
- Brooklyn Park, MN
National Provider Identifier
1366727364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118025
- Practice address
- 7700 Brooklyn Blvd
Brooklyn Park, MN 55443-2906 - Phone
- (763) 566-8350
- Fax
- (763) 561-2256
- NPI assigned
- Oct 21, 2011
- Sex
- Female
- 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 | 118025 | MN | Primary |
Addresses
Primary practice location
7700 Brooklyn Blvd
Brooklyn Park, MN 55443-2906
Mailing address
15367 64TH Ave N
Maple Grove, MN 55311-4318
Phone (763) 559-6563
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118025 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319155200000",
"number": "1366727364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15367 64TH AVE N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553114318",
"telephone_number": "763-559-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 BROOKLYN BLVD",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554432906",
"telephone_number": "763-566-8350",
"fax_number": "763-561-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAKE",
"first_name": "CYNTHIA",
"middle_name": "KAY",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-21",
"last_updated": "2011-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.