Individual provider Active NPI

Amy Michelle Bjork, RPH

  • Pharmacist
  • Saint Paul, MN
National Provider Identifier
1518247196
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
116660-0 Issued in MN
Practice address
550 Vandalia St
Ste. 175
Saint Paul, MN 55114-1833
Phone
(651) 313-6733
NPI assigned
Aug 26, 2011
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 116660-0 MN Primary

Addresses

Primary practice location

550 Vandalia St
Ste. 175
Saint Paul, MN 55114-1833

Mailing address

550 Vandalia St
Ste. 175
Saint Paul, MN 55114-1833
Phone (651) 313-6733

Other identifiers 1

IdentifierTypeStateIssuer
116660-0OtherMNMINNESOTA BOARD OF PHARMACY LICENSE

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
116660-0MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1518247196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 VANDALIA ST",
            "address_2": "STE. 175",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141833",
            "telephone_number": "651-313-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 VANDALIA ST",
            "address_2": "STE. 175",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141833",
            "telephone_number": "651-313-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORK",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "116660-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF PHARMACY LICENSE",
            "identifier": "116660-0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.