Active NPI
Jessica Norman, PHARMD
- Psychiatric Pharmacist
- Vadnais Heights, MN
National Provider Identifier
1396556353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 122769
- Practice address
- 3200 Labore Rd
Vadnais Heights, MN 55110-5186 - Phone
- (651) 363-5416
- NPI assigned
- Jan 17, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 122769 | MN | Primary |
Addresses
Primary practice location
3200 Labore Rd
Vadnais Heights, MN 55110-5186
Mailing address
5636 Logan Ave S
Minneapolis, MN 55419-1512
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 |
|---|---|---|---|
| 122769 | MN | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1396556353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5636 LOGAN AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 LABORE RD",
"city": "VADNAIS HEIGHTS",
"state": "MN",
"postal_code": "551105186",
"telephone_number": "651-363-5416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "JESSICA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "MN",
"license": "122769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vadnais Heights, MN
- Christie Marissa Newman, DNP, APRN, FNP-BC
- Justin Robert Nicol, DPT
- Eric Stanton Niemyer, DPT
- Aaron C Nissen, PT, DPT
- Benjamin Todd Nivala, PT, DPT
- Northeast Pediatric Clinic P.a.
- Northern Lights Pediatric & Adolescent Medicine
- Novacare Outpatient Rehabilitation East Inc
- Carol Joan O'Sullivan, LICSW
- Andrew Charles Ockuly, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.