Active NPI
Mihail Yakovlev
- Pharmacy Technician
- Eden Prairie, MN
National Provider Identifier
1962893438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 728689
- Practice address
- 8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315 - Phone
- (952) 944-8720
- NPI assigned
- Feb 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 728689 | MN | Primary |
Addresses
Primary practice location
8225 Flying Cloud Dr
Eden Prairie, MN 55344-5315
Mailing address
17156 Eastwood Ave
Farmington, MN 55024-7337
Phone (952) 261-9611
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 |
|---|---|---|---|
| 728689 | MN | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1962893438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17156 EASTWOOD AVE",
"city": "FARMINGTON",
"state": "MN",
"postal_code": "550247337",
"telephone_number": "952-261-9611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8225 FLYING CLOUD DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445315",
"telephone_number": "952-944-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAKOVLEV",
"first_name": "MIHAIL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "MN",
"license": "728689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.