Dirk Killelea, PHARMD
Individual provider Active NPI Ambulatory Care Pharmacist · Saint Paul, MN
NPI 1922472653 · NPPES record last updated Nov 18, 2015
Key facts
- NPI
- 1922472653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- 121577 (MN)
- Practice address
- 153 Cesar Chavez St
Saint Paul, MN 55107-2226 - Phone
- (651) 389-2415
- Fax
- (651) 602-7502
- NPI assigned
- Nov 18, 2015
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121577 | MN | MD | Ambulatory Care Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 121577 | MN | Yes |
Addresses
Primary practice location
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Mailing address
153 Cesar Chavez St
Saint Paul, MN 55107-2226
Phone (651) 389-2415
Other providers in Saint Paul, MN
- Lauren Kijewski
- Zaynab Kilas
- Jane M Kilian
- Marcus K Kilian
- Yvonne Marie Kilkelly
- Kim Home Care
- Emma Kim Rust
- Jennifer Allyn Yang Kyung Kim-Ardakani
- Alexis Kim
- Charles S. Kim
All providers in Saint Paul, MN · Ambulatory Care Pharmacist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.