Marjan Sarah Khazaeli, PHARM.D., BCACP

Primary specialty

PharmacistTaxonomy code 183500000X

License

121326 Issued in MN

Practice address

480 Highway 96 E
Vadnais Heights, MN 55127-2557

Phone

(651) 326-5900

NPI assigned

Jul 19, 2013

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

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1861834871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 1ST ST UNIT 506",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554012563",
            "telephone_number": "651-402-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HIGHWAY 96 E",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551272557",
            "telephone_number": "651-326-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Helmo Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551286034",
            "country_code": "US",
            "telephone_number": "651-326-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAZAELI",
        "first_name": "MARJAN",
        "middle_name": "SARAH",
        "credential": "PHARM.D., BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "121326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa N Johnson, DPT
• Greg Michael Johnson, M.D
• Kelsey Nicole Johnson, PMHNP-BC
• Joanne Kaseman, PA-C
• Emily Hope Kelley
• David A Kittleson, MD
• Zgia Melissa Kjonaas, D.C.
• Jonathan Albert Klein, PT, DPT
• Hannah Klitzke
• Linda J Knapp, MD

• Pharmacist in Vadnais Heights, MN
• Providers in Vadnais Heights, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.