Active NPI
Jennifer Arnold, PHARMD
- Pharmacist
- Maplewood, MN
National Provider Identifier
1770195109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119190
- Practice address
- 2920 White Bear Ave N
Maplewood, MN 55109-1304 - Phone
- (651) 251-9938
- NPI assigned
- Aug 18, 2020
- Last updated
- Aug 18, 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 | 119190 | MN | Primary |
Addresses
Primary practice location
2920 White Bear Ave N
Maplewood, MN 55109-1304
Mailing address
2613 V Alley View Place
White Bear Lake, MN 55110
Phone (715) 781-8739
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.0175@store.walgreens.com |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119190 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1597708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1770195109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 V ALLEY VIEW PLACE",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "55110",
"telephone_number": "715-781-8739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 WHITE BEAR AVE N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091304",
"telephone_number": "651-251-9938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "JENNIFER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-18",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119190",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.0175@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "Walgreens Pharmacy email",
"address_1": "2920 White Bear Ave N",
"city": "Maplewood",
"state": "MN",
"country_code": "US",
"postal_code": "551091304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Maplewood, MN
- April M. Snyder, D.D.S., P.a. (Hilltop Dental)
- Moona Arabkhazaeli, MD
- Ardent Home Health Care Inc.
- Carrie L. Ardolf, RN
- Korry Arndt-Wenger, LPCC
- Associated Dialysis Consultants LLC
- Associated Nephrology Consultants, P.a.
- Assured Kare Consultation Inc.
- Jacqueline Rebecca Aufderhar, PT
- Bradley E Austin, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.