Active NPI
Kathran Shea
- Pharmacist
- New Hope, MN
National Provider Identifier
1750916516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118820
- Practice address
- 7932 27TH Ave N
New Hope, MN 55427-3401 - Phone
- (763) 544-3338
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 118820 | MN | Primary |
Addresses
Primary practice location
7932 27TH Ave N
New Hope, MN 55427-3401
Mailing address
7932 27TH Ave N
New Hope, MN 55427-3401
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 |
|---|---|---|---|
| 118820 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand St Paul CVS LLC | Past | Accepting new patients | |
| Grand St. Paul CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1750916516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7932 27TH AVE N",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554273401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7932 27TH AVE N",
"city": "NEW HOPE",
"state": "MN",
"postal_code": "554273401",
"telephone_number": "763-544-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "KATHRAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Hope, MN
- Cora Eleanor Schultz, PTA
- Jennifer Ann Schwalbach, MA OTR/L
- Serge B Pierrecharles Medical Group PLLC (Elixir Sports Medicine, Pain, Spine, Rehabilitation & Wellness Center)
- Nikole Marie Sharpe, LICSW
- Susan Ella Shaw, LCSW, ASCW
- Ilyssa Siegel, PSYD
- Rachel Siegel, SLP
- Sandaldeep Singh
- Skadi Sport Psychology
- Ethan Lee Skog, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.