Laura Hogan Evenrud, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

117482 Issued in MN

Practice address

12011 Technology Dr
Eden Prairie, MN 55344-3620

Phone

(952) 943-4828

Fax

(952) 943-4825

NPI assigned

Sep 24, 2011

Last updated

Aug 10, 2022By 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 2

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": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1427331594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 TECHNOLOGY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443620",
            "telephone_number": "952-943-4828",
            "fax_number": "952-943-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 TECHNOLOGY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443620",
            "telephone_number": "952-943-4828",
            "fax_number": "952-943-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENRUD",
        "first_name": "LAURA",
        "middle_name": "HOGAN",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117482",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "117482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.