SHANNON LEE REIDT (NPI# 1205919016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205919016 |
| Entity Type | Individual |
| Full Name | SHANNON LEE REIDT |
| Credential | PHARMD |
| Practice Address |
Ufp-bethesda Clinic 580 Rice St St Paul MN 55103 |
| Mailing Address |
University of Minnesota Physicians 420 Delaware Street Se Minneapolis MN 55455 |
| Practice Telephone | 6512276551 |
| Mailing Telephone | 6512276551 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118543 | MN | Pharmacy Service Providers |
| Street Address |
UFP-BETHESDA CLINIC 580 RICE ST |
| City | ST PAUL |
| State | MN |
| Zip Code | 55103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144510264 | Misty D Sword Ward | Pharmacist | 16435 Wise Street, St Paul, VA 24283 | 2011-04-11 |
| 1417127903 | Menopause Center of Minnesota | Pharmacist | 1576 Minnehaha Av West, St Paul, MN 55104 | 2008-03-11 |
| 1568684421 | Robert John Riegel | Pharmacist | St Paul Corner Drug, 240 S Snelling Ave, St Paul, MN 55105 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265649 | Candace Louise Haugtvedt | Pharmacist | 321 Us-10 West, Detroit Lakes, MN 56501 | 2020-11-05 |
| 1295334217 | Mary Jane Andersen | Pharmacist | 3300 Hwy 210 W, Fergus Falls, MN 56537 | 2020-10-21 |
| 1679172522 | Cari Michelle Labonne | Pharmacist | 4202 Creekwood Pl, Hermantown, MN 55811-3692 | 2020-10-21 |
| 1073112983 | Katie Sue Fairchild | Pharmacist | 2301 E Frontage Rd, Litchfield, MN 55355 | 2020-10-21 |
| 1609475615 | Blaine Perry Ecker | Pharmacist | 3300 Highway 210 W., 3300 Highway 210 West, Fergus Falls, MN 56537 | 2020-10-21 |
| 1619576626 | Jessica Margaret Dulli | Pharmacist | 5241 Lincoln Dr Apt 204, Edina, MN 55436-2702 | 2020-10-21 |
| 1649879875 | Dale Rudolph | Pharmacist | 320 22nd Ave Ne, Waseca, MN 56093-2670 | 2020-10-19 |
| 1134728520 | Herve Bertrand Kengne Mbakam | Pharmacist | 1800 Windsor Dr S, Shakopee, MN 55379-8073 | 2020-10-18 |
| 1821696402 | Leah Fischer | Pharmacist | 817 11th St N, New Ulm, MN 56073-1374 | 2020-10-15 |
| 1003414780 | Loren Leroy Carver | Pharmacist | 424 3rd St N, Stillwater, MN 55082-4836 | 2020-10-14 |
| 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.