Individual provider Active NPI

Nermine Sedrak

  • Pharmacist
  • Apple Valley, MN
National Provider Identifier
1730714916
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
121538 Issued in MN
Practice address
15115 Dove TRL
Apple Valley, MN 55124-7871
Phone
(952) 423-3200
Fax
(952) 423-3252
NPI assigned
Mar 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 121538 MN Primary

Addresses

Primary practice location

15115 Dove TRL
Apple Valley, MN 55124-7871

Mailing address

21386 Hyalite Dr
Lakeville, MN 55044-7936
Phone (952) 797-2168

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Rx01995@cvshealth.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
121538MNMDPharmacist

Interoperability endpoints

  • Direct secure messaging: rx01995@cvshealth.com

NPI Registry JSON

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1730714916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21386 HYALITE DR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550447936",
            "telephone_number": "952-797-2168",
            "fax_number": "952-423-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 DOVE TRL",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247871",
            "telephone_number": "952-423-3200",
            "fax_number": "952-423-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDRAK",
        "first_name": "NERMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rx01995@cvshealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15115 Dove Trl",
            "city": "Apple Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551247871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.