Yejay Lor

Primary specialty

PharmacistTaxonomy code 183500000X

License

126804 Issued in MN

Practice address

8600 114TH Ave N Ste 1
Champlin, MN 55316-4514

Phone

(763) 422-8700

NPI assigned

Feb 24, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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
  • Rosemount, MN
  • NPI 1730294877
  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": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1760288237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W RIVER RD",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553162028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 114TH AVE N STE 1",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553164514",
            "telephone_number": "763-422-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9655 Colorado Ln N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554452315",
            "country_code": "US",
            "telephone_number": "763-315-0737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Market Dr",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550827599",
            "country_code": "US",
            "telephone_number": "651-430-2362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3784 150th St W",
            "address_purpose": "LOCATION",
            "city": "Rosemount",
            "state": "MN",
            "postal_code": "550684761",
            "country_code": "US",
            "telephone_number": "651-423-0316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 Northtown Dr NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554341045",
            "country_code": "US",
            "telephone_number": "763-780-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOR",
        "first_name": "YEJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "126804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Sara Leisen Fisher, FNP-C
• Gordon James Lester, M.D.
• Jason L Lewis, PH.D.
• Keli Jo Loberg
• Laura Jean Lofy, PHD
• Luxottica of America Inc
• Magdalene Maghanga
• Michelle R. Mandell-Paulson, LICSW
• Adenike Maruff
• Mayfair Home Health LLC

• 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 Feb 24, 2025; 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.