Individual provider Active NPI

Razan Alsibai, RPH

  • Pharmacist
  • Waconia, MN
National Provider Identifier
1972165488
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
124120 Issued in MN
Practice address
851 Marketplace Dr
Waconia, MN 55387-1548
Phone
(952) 442-4407
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
124120MNMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 124120 MN Primary

Addresses

NPPES NPI Registry

Primary practice location

851 Marketplace Dr
Waconia, MN 55387-1548

Mailing address

3118 W Lake St Unit 228
Minneapolis, MN 55416-6807
Phone (952) 567-0245

Other practice location 1

133 W Lake St
Minneapolis, MN 55408-3119
Phone (612) 315-5687

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2019.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1972165488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 W LAKE ST UNIT 228",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554166807",
            "telephone_number": "952-567-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 MARKETPLACE DR",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871548",
            "telephone_number": "952-442-4407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W Lake St",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554083119",
            "country_code": "US",
            "telephone_number": "612-315-5687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSIBAI",
        "first_name": "RAZAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.