Jerrad D Aman, PHARM.D
Individual provider Active NPI Pharmacist · Minnetonka, MN
NPI 1659668697 · NPPES record last updated Jun 28, 2011
Key facts
- NPI
- 1659668697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 118223 (MN)
- Practice address
- 13201 Ridgedale Dr
Minnetonka, MN 55305-1809 - Phone
- (952) 542-8266
- NPI assigned
- Jun 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118223 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Pharmacy Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 118223 | MN | Yes |
Addresses
Primary practice location
13201 Ridgedale Dr
Minnetonka, MN 55305-1809
Mailing address
13201 Ridgedale Dr
Minnetonka, MN 55305-1809
Phone (952) 542-8266
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.