Alexandra Madsen, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

125668 Issued in MN

Practice address

4528 Grand Ave
Duluth, MN 55807-2740

Phone

(218) 624-2820

NPI assigned

Jun 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand St Paul CVS LLC

  • Pharmacy
  • Plymouth, MN
  • NPI 1437620903
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1861186173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HORSESHOE DR",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557449734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 GRAND AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558072740",
            "telephone_number": "218-624-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2140 S Pokegama Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557442507",
            "country_code": "US",
            "telephone_number": "218-326-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison-Nelson Family Dentistry
• Gary John Madison, D.D.S.
• Joan Elizabeth Madison
• Melissa Madison, DMD
• Emily Kate Madole, PHARM.D.
• Cassie Madsen, RD
• Jerry Lynn Madsen, RN, FNP-BC
• Gretchen Lynn Madson
• Magdaliene Marie Kopriva Maen
• Ashlan Mahan

• Pharmacist in Duluth, MN
• Providers in Duluth, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.