Organization Active NPI

Parker Hughes Clinics

  • Clinic Pharmacy
  • Roseville, MN
National Provider Identifier
1487773990
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
261857 Issued in MN
Legal business name
PARKER HUGHES CLINICS
Practice address
2665 Long Lake Rd
Roseville, MN 55113-2538
Phone
(651) 796-5400
Fax
(651) 796-5480
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kathryn M. Reali, CPA
Title
Sr. Vice President, Finance
Phone
(651) 796-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X 261857 MN Primary

Addresses

Primary practice location

2665 Long Lake Rd
Roseville, MN 55113-2538

Mailing address

2665 Long Lake Rd
Roseville, MN 55113-2538
Phone (651) 796-5400

Other identifiers 1

IdentifierTypeStateIssuer
2422943OtherMNNABP NCPDP

National Provider Directory

National Provider Directory

Locations

2665 Long Lake Rd
Roseville, MN 55113
Phone (651) 796-5400

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1487773990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 LONG LAKE RD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132538",
            "telephone_number": "651-796-5400",
            "fax_number": "651-796-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 LONG LAKE RD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551132538",
            "telephone_number": "651-796-5400",
            "fax_number": "651-796-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER HUGHES CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "REALI",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "651-796-5400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MN",
            "license": "261857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NCPDP",
            "identifier": "2422943",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.