Andrea M Newbauer

Primary specialty

PharmacistTaxonomy code 183500000X

License

121909 Issued in MN

Practice address

8600 114TH Ave N
Champlin, MN 55316-3869

Phone

(763) 422-8700

NPI assigned

Dec 4, 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 names 1

• Dr. Andrea M Piela Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Supervalu Pharmacies Inc

  • Community/Retail Pharmacy
  • Champlin, MN
  • NPI 1710092853
  NPD (past)
• Supervalu Pharmacies Inc.

  • Community/Retail Pharmacy
  • Burnsville, MN
  • NPI 1093517914
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1700481843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24265 HUMMINGBIRD ST NW",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550708400",
            "telephone_number": "763-772-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 114TH AVE N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163869",
            "telephone_number": "763-422-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBAUER",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PIELA",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• MSP Dentistry, Inc.
• Shawn Murphy, PHARMD.
• Nas Healthcare Center
• Cheri M Nelson
• Emily Margaret Nelson, CNP
• Andrea Newport, PT
• Laura Truc Nguyen, M.D.
• Lori Ann Niesen, CD(DONA)
• Shara Richelle Nolte, R.N.
• Christine L Nordell, MS CCC SLP

• Pharmacist in Champlin, MN
• Providers in Champlin, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.