Active NPI
Nermine Sedrak
- Pharmacist
- Apple Valley, MN
National Provider Identifier
1730714916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121538
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 121538 | MN | MD | Pharmacist |
Interoperability endpoints
- 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.