Joleen Kay Thiede, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

115026 Issued in MN

Practice address

18755 70TH Way N
Maple Grove, MN 55311-3515

Phone

(763) 494-5301

Fax

(763) 416-4801

NPI assigned

Oct 9, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609473933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18755 70TH WAY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113515",
            "telephone_number": "763-494-5301",
            "fax_number": "763-416-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18755 70TH WAY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553113515",
            "telephone_number": "763-494-5301",
            "fax_number": "763-416-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEDE",
        "first_name": "JOLEEN",
        "middle_name": "KAY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hyvee",
            "affiliation": "Y",
            "endpointDescription": "Pharmacy",
            "affiliationName": "Hy-Vee Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "18755 70th Way N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553113515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyle Jeffrey Theilmann, PA-C
• Connie Theisen
• Thekey of Minnesota, LLC
• Anna Thelen
• Ashley Thersleff, FNP-C
• Matthew Thiede
• Stephanie Ann Thiede
• Justin Lee Thielke, D.C.
• Jozelynn Thomas
• Makena Thomas

• Pharmacist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.