Shelly Zierdt, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

118210 Issued in MN

Practice address

9451 Dunkirk LN N
Maple Grove, MN 55311-5447

Phone

(763) 416-2300

Fax

(763) 416-2303

NPI assigned

Oct 13, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1679171508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 100TH ST NE",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624302",
            "telephone_number": "612-308-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9451 DUNKIRK LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553115447",
            "telephone_number": "763-416-2300",
            "fax_number": "763-416-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIERDT",
        "first_name": "SHELLY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "118210",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alberto G Zenti, DO
• Jenny J Zhang, M.D
• Yu Zhao, M.D, O.D
• Colin Ziegenbein, DPT
• Jena R Ziegler, PT
• Stephanie Zigan
• Madeline Zimmer
• Jessica Anne Zingelman, LICSW
• Jodi Marie Zolik, PT

• Pharmacist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.