Individual provider Active NPI

Alexis Lynn Barr Meyer

  • Pharmacist
  • Saint Cloud, MN
National Provider Identifier
1821382276
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119798 Issued in MN
Practice address
4201 W Division St
T-0215
Saint Cloud, MN 56301-6601
Phone
(320) 253-4646
Fax
(320) 253-4646
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 119798 MN Primary

Addresses

Primary practice location

4201 W Division St
T-0215
Saint Cloud, MN 56301-6601

Mailing address

4201 W Division St
T-0215
Saint Cloud, MN 56301-6601
Phone (320) 253-4646

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

LicenseStateTypeSpecialty
119798MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1821382276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W DIVISION ST",
            "address_2": "T-0215",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016601",
            "telephone_number": "320-253-4646",
            "fax_number": "320-253-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W DIVISION ST",
            "address_2": "T-0215",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563016601",
            "telephone_number": "320-253-4646",
            "fax_number": "320-253-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ALEXIS",
        "middle_name": "LYNN BARR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.