Active NPI
Tenzin Kunphel
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1619580305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124563
- Practice address
- 5428 Lyndale Ave S
Minneapolis, MN 55419-1718 - Phone
- (612) 824-1121
- NPI assigned
- Aug 24, 2020
- Last updated
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 124563 | MN | Primary |
Addresses
Primary practice location
5428 Lyndale Ave S
Minneapolis, MN 55419-1718
Mailing address
5428 Lyndale Ave S
Minneapolis, MN 55419-1718
Phone (612) 824-1121
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 |
|---|---|---|---|
| 124563 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
5428 Lyndale Ave S
Minneapolis, MN 55419
Phone (612) 824-1121
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1619580305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5428 LYNDALE AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191718",
"telephone_number": "612-824-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5428 LYNDALE AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554191718",
"telephone_number": "612-824-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNPHEL",
"first_name": "TENZIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.