Active NPI
Susan Kay Milner, RPH
- Pharmacist
- Medina, MN
National Provider Identifier
1902169550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 112838
- Practice address
- 300 Clydesdale Trail
Target 2223
Medina, MN 55128 - Phone
- (763) 852-0007
- NPI assigned
- Jun 19, 2012
- Last updated
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 112838 | MN | Primary |
Addresses
Primary practice location
300 Clydesdale Trail
Target 2223
Medina, MN 55128
Mailing address
2405 Donegal Way
Hudson, WI 54016
Phone (715) 381-5838
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112838 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1902169550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 DONEGAL WAY",
"city": "HUDSON",
"state": "WI",
"postal_code": "54016",
"telephone_number": "715-381-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CLYDESDALE TRAIL",
"address_2": "TARGET 2223",
"city": "MEDINA",
"state": "MN",
"postal_code": "55128",
"telephone_number": "763-852-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNER",
"first_name": "SUSAN",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "112838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.