Active NPI
Jody Beth Verdick, PHARMD
- Pharmacist
- Saint Cloud, MN
National Provider Identifier
1952552135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117573
- Practice address
- 4801 Veterans Drive
Vamc St Cloud
St Cloud, MN 56303 - Phone
- (320) 255-6465
- NPI assigned
- Oct 6, 2008
- Last updated
- Oct 6, 2008
- 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 | 117573 | MN | Primary |
Addresses
Primary practice location
4801 Veterans Drive
Vamc St Cloud
St Cloud, MN 56303
Mailing address
24007 98TH St NW
Elk River, MN 55330-4511
Phone (763) 856-5964
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117573 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223251200000",
"number": "1952552135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24007 98TH ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304511",
"telephone_number": "763-856-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 VETERANS DRIVE",
"address_2": "VAMC ST CLOUD",
"city": "ST CLOUD",
"state": "MN",
"postal_code": "56303",
"telephone_number": "320-255-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERDICK",
"first_name": "JODY",
"middle_name": "BETH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.