Active NPI
John D. Hunter, RPH
- Pharmacist
- Shorewood, MN
National Provider Identifier
1922219245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 111100
- Practice address
- 23800 State Highway 7
Shorewood, MN 55331 - Phone
- (952) 346-8625
- Fax
- (952) 948-0686
- NPI assigned
- May 25, 2007
- Last updated
- Nov 24, 2008
- Sex
- Male
- 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 | 111100 | MN | Primary |
Addresses
Primary practice location
23800 State Highway 7
Shorewood, MN 55331
Mailing address
17447 Haralson Drive
Eden Prairie, MN 55347
Phone (952) 975-2846
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 |
|---|---|---|---|
| 111100 | 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": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1922219245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17447 HARALSON DRIVE",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "55347",
"telephone_number": "952-975-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23800 STATE HIGHWAY 7",
"city": "SHOREWOOD",
"state": "MN",
"postal_code": "55331",
"telephone_number": "952-346-8625",
"fax_number": "952-948-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "JOHN",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "111100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shorewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.