Active NPI
Jodie Little, PHARM.D., CGP
- Geriatric Pharmacist
- Duluth, MN
National Provider Identifier
1679990857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 116055
- Practice address
- 801 W. Central Entrance
Shopko Pharmacy 2114
Duluth, MN 55811 - Phone
- (218) 727-7139
- Fax
- (218) 727-6240
- NPI assigned
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 116055 | MN | Primary |
Addresses
Primary practice location
801 W. Central Entrance
Shopko Pharmacy 2114
Duluth, MN 55811
Mailing address
801 W. Central Entrance
Shopko Pharmacy 2114
Duluth, MN 55811
Phone (218) 727-7139
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116055 | MN | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1679990857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 W. CENTRAL ENTRANCE",
"address_2": "SHOPKO PHARMACY 2114",
"city": "DULUTH",
"state": "MN",
"postal_code": "55811",
"telephone_number": "218-727-7139",
"fax_number": "218-727-6240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W. CENTRAL ENTRANCE",
"address_2": "SHOPKO PHARMACY 2114",
"city": "DULUTH",
"state": "MN",
"postal_code": "55811",
"telephone_number": "218-727-7139",
"fax_number": "218-727-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "JODIE",
"credential": "PHARM.D., CGP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MN",
"license": "116055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.