Active NPI
Ashley Anne Gellner
- Pharmacist
- Plymouth, MN
National Provider Identifier
1699116038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121261
- Practice address
- 4175 Vinewood LN N
Plymouth, MN 55442-2624 - Phone
- (763) 553-0302
- NPI assigned
- Jul 15, 2013
- 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 | 121261 | MN | Primary |
Addresses
Primary practice location
4175 Vinewood LN N
Plymouth, MN 55442-2624
Mailing address
16653 50TH CT N
Plymouth, MN 55446-4531
Phone (701) 371-9710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121261 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1699116038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16653 50TH CT N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554464531",
"telephone_number": "701-371-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4175 VINEWOOD LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422624",
"telephone_number": "763-553-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELLNER",
"first_name": "ASHLEY",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.