Wendy L Simenson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

112598 Issued in MN

Practice address

323 Jackson Ave NW
Elk River, MN 55330-2523

Phone

(763) 441-1353

Fax

(763) 441-9004

NPI assigned

Jun 16, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Elk River Pharmacy

  • Community/Retail Pharmacy
  • Elk River, MN
  • NPI 1013915040
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1629238274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 JACKSON AVE NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302523",
            "telephone_number": "763-441-1353",
            "fax_number": "763-441-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 JACKSON AVE NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302523",
            "telephone_number": "763-441-1353",
            "fax_number": "763-441-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMENSON",
        "first_name": "WENDY",
        "middle_name": "L",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherburne County (Sherburne County HHS/Public Health Division)
• Sherburne County Social Services
• Mary Kathryn Shoemaker
• Arthur James Shold, MD
• Eunice N Sih
• Eric M. Simon, MD
• Irene Moraa Simon
• Kyle John Skjei, DDS
• Riley Jacqueline Slavicek
• Ashley Slavik

• Pharmacist in Elk River, MN
• Providers in Elk River, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.