Active NPI
Alexander Ross, PHARMD
- Ambulatory Care Pharmacist
- Chaska, MN
National Provider Identifier
1972956084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 122796
- Practice address
- 111 Hundertmark Rd
Suite 115N
Chaska, MN 55318-4551 - Phone
- (952) 361-2450
- NPI assigned
- Jul 13, 2016
- Last updated
- Jul 13, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 122796 | MN | Primary |
Addresses
Primary practice location
111 Hundertmark Rd
Suite 115N
Chaska, MN 55318-4551
Mailing address
111 Hundertmark Rd
Suite 115N
Chaska, MN 55318-4551
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 |
|---|---|---|---|
| 122796 | MN | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgeview Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Diagnostic Radiology Physician
- Waconia, MN
- NPI 1811174923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468368000000",
"number": "1972956084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HUNDERTMARK RD",
"address_2": "SUITE 115N",
"city": "CHASKA",
"state": "MN",
"postal_code": "553184551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HUNDERTMARK RD",
"address_2": "SUITE 115N",
"city": "CHASKA",
"state": "MN",
"postal_code": "553184551",
"telephone_number": "952-361-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ALEXANDER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-13",
"last_updated": "2016-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MN",
"license": "122796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chaska, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.