Luke Fleming, PHARMD
Individual provider Active NPI Pharmacist · Minneapolis, MN
NPI 1477848372 · NPPES record last updated Jun 20, 2011
Key facts
- NPI
- 1477848372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 119027 (MN)
- Practice address
- 900 Nicollet Mall
T-1375
Minneapolis, MN 55403-2530 - Phone
- (612) 338-5215
- NPI assigned
- Jun 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119027 | MN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119027 | MN | Yes |
Addresses
Primary practice location
900 Nicollet Mall
T-1375
Minneapolis, MN 55403-2530
Mailing address
900 Nicollet Mall
T-1375
Minneapolis, MN 55403-2530
Phone (612) 338-5215
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.