Active NPI
Nadeen Kufoof Bajjali
- Pharmacist
- Apple Valley, MN
National Provider Identifier
1750143129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 126342
- Practice address
- 15051 Galaxie Ave
Apple Valley, MN 55124-6987 - Phone
- (952) 432-3535
- NPI assigned
- Jan 30, 2024
- 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 | 126342 | MN | Primary |
Addresses
Primary practice location
15051 Galaxie Ave
Apple Valley, MN 55124-6987
Mailing address
15051 Galaxie Ave
Apple Valley, MN 55124-6987
Phone (952) 432-3535
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 |
|---|---|---|---|
| 126342 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1750143129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15051 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246987",
"telephone_number": "952-432-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15051 GALAXIE AVE",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246987",
"telephone_number": "952-432-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJJALI",
"first_name": "NADEEN",
"middle_name": "KUFOOF",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "126342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.