Active NPI
Jennifer Lach
- Pharmacist
- Blaine, MN
National Provider Identifier
1841612538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121264
- Practice address
- 585 Northtown Dr NE
Blaine, MN 55434-1045 - Phone
- (763) 780-7350
- NPI assigned
- Jan 14, 2014
- Last updated
- Nov 8, 2025
- 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 | 121264 | MN | Primary |
Addresses
Primary practice location
585 Northtown Dr NE
Blaine, MN 55434-1045
Mailing address
12900 Riverdale Dr NW
Coon Rapids, MN 55448-1282
Phone (763) 421-0065
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
| License | State | Type | Specialty |
|---|---|---|---|
| 121264 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762560000000",
"number": "1841612538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 RIVERDALE DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554481282",
"telephone_number": "763-421-0065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 NORTHTOWN DR NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554341045",
"telephone_number": "763-780-7350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACH",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2025-11-08",
"certification_date": "2025-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, MN
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- Bradley Kuehl, D.C.
- Sarah Marie Kunkel, PHARMD
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- Laboratory Corporation of America Holdings
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- Lakes Housing Services LLC
- William Lamers, LAMFT
- Kelly Anne Tikkanen Lang, DDS
- Mary M Laplant, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.