DR. JENNIFER SORMAN GEDNALSKE (NPI# 1124388863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124388863 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER SORMAN GEDNALSKE |
| Credential | PHARM. D. |
| Practice Address |
550 Osborne Rd Ne Mail Code 52570 Fridley MN 55432-2718 |
| Mailing Address |
6174 Linda Ln Lino Lakes MN 55014-6408 |
| Practice Telephone | 7632364123 |
| Mailing Telephone | 6513402114 |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2017-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
117455 | MN | Pharmacy Service Providers |
| Street Address |
550 OSBORNE RD NE MAIL CODE 52570 |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689666497 | Jeffrey S Herman | Radiology | 550 Osborne Rd Ne, Unity Radiation Therapy Ctr, Fridley, MN 55432-2718 | 2005-08-17 |
| 1982231189 | Sylvia Lirazan | Physical Medicine & Rehabilitation | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2020-03-26 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1497307235 | Shaun Michael Sperr | Physical Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-11 |
| 1285192252 | Chamaera Sowell | Social Worker | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-03-07 |
| 1932665858 | Amy Kirsten Maynard | Registered Nurse | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-15 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1578031779 | Caroline Betty Muthuri | Nurse Practitioner | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-11-06 |
| 1841783131 | Symphony Michelle Moser | Speech-Language Pathologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033358247 | Daniel Husak | Pharmacist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2009-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587205 | Pain Partners LLC | Pharmacist | 15225 Wild Wings Court, Minnetonka, MN 55345 | 2020-01-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1942789912 | Savannah Danielle Miller | Pharmacist | 323 S Minnesota Street, Crookston, MN 56716 | 2018-08-10 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1831642214 | Jennifer Franke | Pharmacist | 24760 Hospital Rd., Red Lake, MN 56671 | 2016-08-02 |
| 1922479062 | Shelby Setniker-eschiti | Pharmacist | 2172 German St, Maplewood, MN 55109-2853 | 2015-10-15 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1104259795 | Megan Nimke | Pharmacist | 345 Smith Ave North Pharmacy Department, Children's Hospital & Clinics of Minnesota Pharmacy Dep, St. Paul, MN 55102 | 2013-08-19 |
| 1790033363 | Mary Sauer | Pharmacist | 5615 Xerxes Ave N Ste D, Brooklyn Center, MN 55430-2819 | 2012-08-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.