St Paul Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

118487 Issued in MN

Legal business name

ST PAUL PHARMACY LLC

Practice address

301 University Ave W
Saint Paul, MN 55103-2048

Phone

(651) 447-7113

Fax

(651) 447-7112

NPI assigned

Apr 17, 2015

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ky Nouky Fang, PHARM D

Title

Pharmacist

Phone

(651) 447-7113

Specialties & licenses 2

Addresses

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.

• Pafoua Yang, MD

  • Obstetrics & Gynecology Physician
  • Minneapolis, MN
  • NPI 1922029529
  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1639566649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032048",
            "telephone_number": "651-447-7113",
            "fax_number": "651-447-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032048",
            "telephone_number": "651-447-7113",
            "fax_number": "651-447-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PAUL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FANG",
        "authorized_official_first_name": "KY",
        "authorized_official_middle_name": "NOUKY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "651-447-7113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "118487",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MN",
            "license": "118487",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Paul Eye Clinic PA
• St Paul Eye Clinic PA
• St Paul Family Dentistry
• St Paul Internal Medicine (St Peter Street Internal Medicine)
• St Paul Oral Surgery and Dental Implants LLC (St. Paul Oral Surgery)
• St Paul Plastic Surgery LTD
• St Paul Primary Care (Arcade Medical Clinic)
• St Paul Ramsey County Dept of Public HLTH
• Jordan St Peter
• St. Anthony Park Dental Arts, P.a.

• Community/Retail Pharmacy in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.