Individual provider Active NPI

Kelly Deanne Meier, RPH

  • Pharmacist
  • Cold Spring, MN
National Provider Identifier
1770800237
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
120294 Issued in MN
Practice address
400 Main St
Cold Spring, MN 56320-2324
Phone
(320) 685-7015
NPI assigned
Apr 23, 2010
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10514 NV
Pharmacist 183500000X 120294 MN Primary

Addresses

Primary practice location

400 Main St
Cold Spring, MN 56320-2324

Mailing address

9806 Hawthorne Rd
Saint Cloud, MN 56301-9443
Phone (702) 580-3097

Other practice location 1

801 S Pavilion Center Dr
Las Vegas, NV 89144-4566
Phone (702) 352-2055

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
120294MNMDPharmacist
10514NVMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1770800237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 HAWTHORNE RD",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563019443",
            "telephone_number": "702-580-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MAIN ST",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563202324",
            "telephone_number": "320-685-7015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Pavilion Center Dr",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891444566",
            "country_code": "US",
            "telephone_number": "702-352-2055",
            "fax_number": "702-352-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIER",
        "first_name": "KELLY",
        "middle_name": "DEANNE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "10514",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "120294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cold Spring, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.