Active NPI
Cody Wiberg, PHARM.D., R.PH.
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1770570210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114077-8
- Practice address
- 2829 University Ave SE
Suite 530
Minneapolis, MN 55414-3250 - Phone
- (612) 617-2201
- Fax
- (612) 617-2212
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- 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 | 114077-8 | MN | Primary |
Addresses
Primary practice location
2829 University Ave SE
Suite 530
Minneapolis, MN 55414-3250
Mailing address
1011 College Ave
Red Wing, MN 55066-2437
Phone (651) 388-3102
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114077-8 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770570210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 COLLEGE AVE",
"city": "RED WING",
"state": "MN",
"postal_code": "550662437",
"telephone_number": "651-388-3102",
"fax_number": "612-617-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 UNIVERSITY AVE SE",
"address_2": "SUITE 530",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143250",
"telephone_number": "612-617-2201",
"fax_number": "612-617-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIBERG",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "PHARM.D., R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114077-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.