Kelly Louise Lanzatella, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

121105 Issued in MN

Practice address

1729 Market Blvd
Hastings, MN 55033-1254

Phone

(651) 438-2135

NPI assigned

Dec 7, 2020

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • Hastings, MN
  • NPI 1811002959
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1437755485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13807 GUILD AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247654",
            "telephone_number": "651-402-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 MARKET BLVD",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550331254",
            "telephone_number": "651-438-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANZATELLA",
        "first_name": "KELLY",
        "middle_name": "LOUISE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnamarie Carter Krause, OTR
• Nadezhda Kraut
• Christina Marie Kummer, OTR
• Andrew James L'Allier, D.C.
• Alaine Viola Lagasse, LPCC
• Peter Jon Larsen, PA
• Lindsey Larson
• Kristina Lecount, D.D.S.
• Victoriya Lynn Lemke, LDA
• Simone Leanne Lenertz, OTR/L

• Pharmacist in Hastings, MN
• Providers in Hastings, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.