Individual provider Active NPI

Caleb Nyabando, PHARMD

  • Pharmacist
  • Edina, MN
National Provider Identifier
1689522203
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
127284 Issued in MN
Practice address
5995 Lincoln Dr Apt 351
Edina, MN 55436-6119
Phone
(612) 978-1878
NPI assigned
Mar 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 127284 MN Primary

Addresses

Primary practice location

5995 Lincoln Dr Apt 351
Edina, MN 55436-6119

Mailing address

5995 Lincoln Dr Apt 351
Edina, MN 55436-6119
Phone (612) 978-1878

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

LicenseStateTypeSpecialty
127284MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1689522203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 LINCOLN DR APT 351",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554366119",
            "telephone_number": "612-978-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 LINCOLN DR APT 351",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554366119",
            "telephone_number": "612-978-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYABANDO",
        "first_name": "CALEB",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "127284",
            "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 19, 2026; 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.