Deborah Kay Blomstrom, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

115451 Issued in MN

Practice address

16750 County Road 30
Maple Grove, MN 55311-4523

Phone

(763) 416-1863

NPI assigned

Aug 15, 2025

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Maple Grove, MN
  • NPI 1780721886
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1629954490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16750 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114523",
            "telephone_number": "763-416-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553114523",
            "telephone_number": "763-416-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMSTROM",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "115451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayan Hassan Bitow
• Melissa Gail Bjork
• Brittany Blackwelder, HIS
• Kayla Blanek, DDS
• Karine Blazovich, CCC-SLP
• Blooming Wellness Chiropractic LLC
• Blue Ridge Dental Center PA
• Blue Ridge Recover LLC
• Wendy Blue, RN, CDE
• Nuhn Monique Boayue

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.