Kyle A Coryell, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

123779 Issued in MN

Practice address

4209 Webber Pkwy
Minneapolis, MN 55412-1747

Phone

(763) 581-5750

NPI assigned

Apr 11, 2018

Last updated

Feb 13, 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

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1396242764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 WEBBER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121747",
            "telephone_number": "763-581-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 WEBBER PKWY",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554121747",
            "telephone_number": "763-581-5750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 Webber Pkwy",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55412",
            "country_code": "US",
            "telephone_number": "763-581-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 W Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554112504",
            "country_code": "US",
            "telephone_number": "612-302-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORYELL",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MN",
            "license": "123779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corridor Family Therapy LLC
• Wilfred A Corson, M.D.
• Leidy Cortes Arrington, LICSW
• Matthew John Corti, DNAP
• Maxwell Cory, DDS
• Kate Shaw Cosgriff, L.I.C.S.W
• Sienna Coskran
• Cosmo Care LLC
• Cosmo Home Healthcare Services, L.L.C.
• Cosmopolitan & Associates, Inc.

• Ambulatory Care Pharmacist in Minneapolis, MN
• Providers in Minneapolis, 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 Feb 13, 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.