Active NPI
Theresa Joan Pavek
- Pharmacy Technician
- West St Paul, MN
National Provider Identifier
1508625351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 700345
- Practice address
- 1133 Robert St S
West St Paul, MN 55118-2304 - Phone
- (651) 455-5590
- NPI assigned
- Mar 14, 2024
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 700345 | MN | Primary |
Addresses
Primary practice location
1133 Robert St S
West St Paul, MN 55118-2304
Mailing address
3736 Conroy TRL
Inver Grove Heights, MN 55076-3115
Phone (651) 270-7342
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 |
|---|---|---|---|
| 700345 | MN | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1508625351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3736 CONROY TRL",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550763115",
"telephone_number": "651-270-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 ROBERT ST S",
"city": "WEST ST PAUL",
"state": "MN",
"postal_code": "551182304",
"telephone_number": "651-455-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVEK",
"first_name": "THERESA",
"middle_name": "JOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-14",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": "700345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.