CHE DOUA THAO (NPI# 1548730328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548730328 |
| Entity Type | Individual |
| Full Name | CHE DOUA THAO |
| Practice Address |
Leafline Labs Eagan MN 55425 |
| Mailing Address |
935 Lawson Ave E Saint Paul MN 55106-3218 |
| Practice Telephone | 6518469245 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| Street Address |
LEAFLINE LABS |
| City | EAGAN |
| State | MN |
| Zip Code | 55425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1134773419 | Fairview Clinics | Clinic/Center | 322 E. Broadway Suite E322, Bloomington, MN 55425 | 2019-07-25 |
| 1235645763 | Caringhands Adult Day Center | Chore Provider | 8040 Old Cedar Ave South Suite # 1, Bloomington, MN 55425 | 2017-12-20 |
| 1174044119 | Abs Holdings, Inc. | In Home Supportive Care | 2626 East 82nd St., Suite 145, Bloomington, MN 55425 | 2017-06-29 |
| 1598144891 | Matthew Runde | Family Medicine | Riverway Clinic Anoka 601 Jacob Lane, Anoka, MN 55425 | 2015-05-20 |
| 1336578145 | Rebecca Ann Lund | Counselor | 8011 34th Avenue South, Suite 206, Bloomington, MN 55425 | 2013-11-02 |
| 1578902250 | Promise Care, Inc | Home Health | 7900 International Drive, Suite 300, Bloomington, MN 55425 | 2013-06-17 |
| 1336292911 | Gane Marie Boothroyd | Optometrist | 304 N. Garden, Mall of America, Bloomington, MN 55425 | 2007-01-18 |
| 1841341898 | Visual Edge, Inc | Technician/Technologist | W 385 West Market, Mall of America, Bloomington, MN 55425 | 2007-01-16 |
| 1366527939 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 9201 Cedar Avenue South, Bloomington, MN 55425 | 2006-10-25 |
| Find all providers in zip 55425 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982235180 | Ciera Shanaye Keyes | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2020-01-28 |
| 1124666961 | Amber Lynn Kaye | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-12-11 |
| 1851941561 | Jessica Hudson | Pharmacy Technician | 2795 Pilot Knob Rd Ste 300, Eagan, MN 55121-1930 | 2019-09-14 |
| 1134778442 | Marissa Ann Finucane | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-09-09 |
| 1821645425 | Rhiannon Nicole Tofaha | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-08-20 |
| 1417513680 | Catherine Nicole Jenkins | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-14 |
| 1629634936 | Michele Christen Mask | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-05-13 |
| 1457817207 | Christine Garcia | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-02-18 |
| 1972067866 | Mindi Steffens | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2019-01-25 |
| 1871062430 | James Kreutzer | Pharmacy Technician | 2795 Pilot Knob Rd, Eagan, MN 55121-1176 | 2018-11-13 |
| Find all providers in EAGAN | ||||
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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.