Organization Active NPI

R.PH.S Direct PLLC

  • Pharmacy
  • Fridley, MN
National Provider Identifier
1578180758
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
R.PH.S DIRECT PLLC
Practice address
7362 University Ave NE Ste 211
Fridley, MN 55432-3151
Phone
(763) 205-3928
Fax
(612) 206-8284
NPI assigned
Jul 3, 2020
Last updated
Jul 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Authorized official

Name
Elvis Osagie, R.PHNPI 1336757194
Title
Pharmacist in Charge
Phone
(763) 205-3928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

7362 University Ave NE Ste 211
Fridley, MN 55432-3151

Mailing address

7362 University Ave NE Ste 211
Fridley, MN 55432-3151
Phone (763) 205-3928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593734400000",
    "number": "1578180758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 211",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "763-205-3928",
            "fax_number": "612-206-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7362 UNIVERSITY AVE NE STE 211",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554323151",
            "telephone_number": "763-205-3928",
            "fax_number": "612-206-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.PH.S DIRECT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A",
        "authorized_official_last_name": "OSAGIE",
        "authorized_official_first_name": "ELVIS",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "763-205-3928",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.