Active NPI
Priti Ghodke
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1427778406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123221
- Practice address
- 3001A Nicollet Ave
Minneapolis, MN 55408-3129 - Phone
- (612) 827-8902
- NPI assigned
- Aug 31, 2022
- Last updated
- Aug 31, 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 | 123221 | MN | Primary |
Addresses
Primary practice location
3001A Nicollet Ave
Minneapolis, MN 55408-3129
Mailing address
3001A Nicollet Ave
Minneapolis, MN 55408-3129
Phone (612) 827-8902
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 |
|---|---|---|---|
| 123221 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
3001 Nicollet Ave
#A
Minneapolis, MN 55408
Phone (612) 827-8902
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": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1427778406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001A NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083129",
"telephone_number": "612-827-8902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001A NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083129",
"telephone_number": "612-827-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHODKE",
"first_name": "PRITI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.