Individual provider Active NPI

Katherine Dianne Brastad, PHARMD

  • Pharmacist
  • Saint Louis Park, MN
National Provider Identifier
1922975606
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
125771 Issued in MN
Practice address
5370 W 16TH St
Saint Louis Park, MN 55416-1734
Phone
(952) 544-0542
Fax
(952) 544-0629
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 125771 MN Primary

Addresses

Primary practice location

5370 W 16TH St
Saint Louis Park, MN 55416-1734

Mailing address

5370 W 16TH St
Saint Louis Park, MN 55416-1734
Phone (952) 544-0542

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
125771MNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1922975606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 W 16TH ST",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161734",
            "telephone_number": "952-544-0542",
            "fax_number": "952-544-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5370 W 16TH ST",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161734",
            "telephone_number": "952-544-0542",
            "fax_number": "952-544-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASTAD",
        "first_name": "KATHERINE",
        "middle_name": "DIANNE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.