ELI EGGEN (NPI# 1275005464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275005464 |
| Entity Type | Individual |
| Full Name | ELI EGGEN |
| Credential | PHARMD |
| Practice Address |
153 Cesar Chavez St Saint Paul MN 55107-2226 |
| Practice Telephone | 6516027589 |
| Practice Fax Number | 6516027502 |
| Mailing Telephone | 6516027589 |
| Mailing Fax Number | 6516027502 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 123380 | MN | Pharmacy Service Providers |
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
123380 | MN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 895 7th St E, Saint Paul, MN 551063871 | 6517932250 | 6516027502 |
| Street Address |
153 CESAR CHAVEZ ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55107-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820661 | Carrie S Dickson | Advanced Practice Midwife | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2005-06-10 |
| 1700493137 | Carolina Gentry | Social Worker | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2020-09-29 |
| 1740890334 | Quest Diagnostics | Clinical Medical Laboratory | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2020-08-07 |
| 1316589195 | Sara Saini Maki | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-10-13 |
| 1912556457 | Christine Jo Singer | Registered Nurse | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-09-07 |
| 1831745025 | Antionette Renee Estis | Advanced Practice Midwife | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-08-13 |
| 1467006700 | Faisa Hassan Abdi-omar | Midwife | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-25 |
| 1790338754 | Mikaela Pierson | Physician Assistant | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-18 |
| 1427519529 | Bright Smiles Dental Program | Clinic/Center | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-03-29 |
| 1689159360 | Morgan Llewellyn Mcdonald Weinert | Nurse Practitioner | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2018-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477944809 | Marina Castillo | Counselor | 143 Isabel St. W, Saint Paul, MN 55107 | 2015-02-06 |
| 1134540123 | Michelle M Lee | Social Worker | 106 Water Street/3rd Floor, Umbrella Tree Studios, St. Paul, MN 55107 | 2013-12-18 |
| 1376748574 | Mary E. A. Horoshak | Physical Therapist | 155 S Wabasha St, Suite 130, St. Paul, MN 55107 | 2007-06-18 |
| 1821156050 | Amherst H. Wilder Foundation | Assisted Living Facility | 469 Ada St, Saint Paul, MN 55107 | 2006-12-04 |
| 1407914674 | Amherst H. Wilder Foundation | Clinic/Center | 516 Humboldt Ave, Saint Paul, MN 55107 | 2006-12-04 |
| 1780753681 | Chad Randal Vickers | Nurse Practitioner | 135 Colorado Street East, Saint Paul, MN 55107 | 2006-11-06 |
| 1225122872 | Elizabeth E Frost | Family Medicine | 153 Cesar Chavez Street, St Paul, MN 55107 | 2006-10-03 |
| 1215457890 | Elizabeth Smith Zaremba | Dietitian, Registered | 205 Wabasha St S, Mail Stop 31300a, St Paul, MN 55107 | 2017-06-23 |
| 1366819609 | Brittany Leach | Advanced Practice Midwife | 624 Smith Ave S, Saint Paul, MN 55107 | 2015-08-21 |
| 1003293101 | Huiying Guo | Family Medicine | 205 Wabasha St S, Saint Paul, MN 55107 | 2015-04-28 |
| Find all providers in zip 55107 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386160109 | Hayley Retaskie | Pharmacist | 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 | 2017-08-15 |
| 1902451826 | Matthew Joseph Glasow | Pharmacist | 451 Dunlap St N, Saint Paul, MN 55104-4619 | 2019-08-07 |
| 1831610401 | Dema Mohammed | Pharmacist | 2500 Como Ave, Saint Paul, MN 55108-1460 | 2017-07-04 |
| 1992157523 | Emily Bruggeman | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2016-07-07 |
| 1922472653 | Dirk Killelea | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2015-11-18 |
| 1487028114 | Lauren Ann Lapinta | Pharmacist | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637145 | Nelson Nudd | Pharmacist | 4104 Zenith Ave S, Minneapolis, MN 55410-1156 | 2020-07-26 |
| 1609424712 | Fredrick Victor Parduhn | Pharmacist | 425 Sandy Ln, Red Wing, MN 55066-1759 | 2019-09-01 |
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1104341932 | Logane Kiehnau | Pharmacist | 150 Emerson Ave E # E, West St Paul, MN 55118-2535 | 2017-08-14 |
| 1154773265 | Kailee Donner | Pharmacist | 701 Park Ave Rll. 120, Minneapolis, MN 55415 | 2016-07-13 |
| 1346600962 | Julie Corradi | Pharmacist | 5219 St. Johns Drive, Nett Lake, MN 55772 | 2016-02-24 |
| 1386993871 | Oluwaseyi Faseemo | Pharmacist | 314 Elton Hills Dr Nw, Rochester, MN 55901-2476 | 2012-08-30 |
| 1063011021 | Zeleke Belay Goshu | Pharmacist | 15300 Grove Cir N, Maple Grove, MN 55369-4469 | 2020-10-21 |
| 1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
| 1669091278 | Athena Brindle Cannon | Pharmacist | 1020 W Broadway Ave, Minneapolis, MN 55411-2504 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55107 |
Please comment or provide details below to improve the information on ELI EGGEN.
| 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.