Active NPI
Suzanne Elizabeth Doerr, RPH
- Pharmacist
- Edina, MN
National Provider Identifier
1649806662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117376
- Practice address
- 7000 York Ave S
Edina, MN 55435-4213 - Phone
- (952) 925-4250
- NPI assigned
- Mar 21, 2020
- Last updated
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 117376 | MN | Primary |
Addresses
Primary practice location
7000 York Ave S
Edina, MN 55435-4213
Mailing address
1205 Selby Ave
Saint Paul, MN 55104-6422
Phone (651) 353-2448
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117376 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1649806662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 SELBY AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551046422",
"telephone_number": "651-353-2448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 YORK AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554354213",
"telephone_number": "952-925-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERR",
"first_name": "SUZANNE",
"middle_name": "ELIZABETH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.