Active NPI
Thuan DO
- Pharmacist
- Roseville, MN
National Provider Identifier
1922478874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116500
- Practice address
- 3030 Centre Pointe Dr Ste 800
Roseville, MN 55113-1142 - Phone
- (651) 414-3308
- Fax
- (651) 414-3398
- NPI assigned
- Oct 5, 2015
- Sex
- Male
- 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 | 116500 | MN | Primary |
Addresses
Primary practice location
3030 Centre Pointe Dr Ste 800
Roseville, MN 55113-1142
Mailing address
10245 Washington CT NE
Blaine, MN 55434-4226
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 |
|---|---|---|---|
| 116500 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1922478874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10245 WASHINGTON CT NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CENTRE POINTE DR STE 800",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131142",
"telephone_number": "651-414-3308",
"fax_number": "651-414-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "THUAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-05",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.