Active NPI
Eileen Huang
- Pharmacist
- Rosemount, MN
National Provider Identifier
1417672429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125815
- Practice address
- 15034 Shannon Pkwy
Rosemount, MN 55068-1795 - Phone
- (651) 322-6603
- Fax
- (651) 322-6608
- NPI assigned
- Oct 11, 2022
- Last updated
- Oct 11, 2022
- 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 | 125815 | MN | Primary |
Addresses
Primary practice location
15034 Shannon Pkwy
Rosemount, MN 55068-1795
Mailing address
15034 Shannon Pkwy
Rosemount, MN 55068-1795
Phone (651) 322-6603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.04038@store.walgreens.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125815 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1417672429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15034 SHANNON PKWY",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550681795",
"telephone_number": "651-322-6603",
"fax_number": "651-322-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15034 SHANNON PKWY",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550681795",
"telephone_number": "651-322-6603",
"fax_number": "651-322-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "EILEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125815",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.04038@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "Pharmacy manager email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "15034 Shannon Pkwy",
"city": "Rosemount",
"state": "MN",
"country_code": "US",
"postal_code": "550681795",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.