Active NPI
Constance Ann Vihovde
- Pharmacist
- Lakeville, MN
National Provider Identifier
1881280329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114138
- Practice address
- 7435 179TH St W
Lakeville, MN 55044-5264 - Phone
- (952) 891-5050
- Fax
- (952) 891-5885
- NPI assigned
- Dec 18, 2020
- Last updated
- Dec 18, 2020
- 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 | 114138 | MN | Primary |
Addresses
Primary practice location
7435 179TH St W
Lakeville, MN 55044-5264
Mailing address
15625 Alpine Cir
Burnsville, MN 55306-5483
Phone (952) 649-8432
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 |
|---|---|---|---|
| 114138 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Supervalu Pharmacies Inc. | Past | Accepting new patients | |
| Supervalu Pharmacies Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1881280329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15625 ALPINE CIR",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553065483",
"telephone_number": "952-649-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 179TH ST W",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550445264",
"telephone_number": "952-891-5050",
"fax_number": "952-891-5885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIHOVDE",
"first_name": "CONSTANCE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-18",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.