Active NPI
Jenelle Elizabeth Kraus, PHARMD
- Pharmacist
- Rosemount, MN
National Provider Identifier
1962786996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119819
- Practice address
- 15034 Shannon Pkwy
Rosemount, MN 55068-1795 - Phone
- (651) 322-6603
- Fax
- (651) 322-6608
- NPI assigned
- Oct 10, 2011
- Sex
- Female
- 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 | 119819 | MN | Primary |
Addresses
Primary practice location
15034 Shannon Pkwy
Rosemount, MN 55068-1795
Mailing address
15034 Shannon Pkwy
Rosemount, MN 55068-1795
Phone (651) 322-6603
Other names 1
- Jenelle Elizabeth Savre
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 |
|---|---|---|---|
| 119819 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1962786996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15034 SHANNON PKWY",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550681795",
"telephone_number": "651-322-6603",
"fax_number": "651-322-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15034 SHANNON PKWY",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550681795",
"telephone_number": "651-322-6603",
"fax_number": "651-322-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUS",
"first_name": "JENELLE",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENELLE",
"last_name": "SAVRE",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.