CAROLYN LESLIE GILBERTSON (NPI# 1699028761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699028761 |
| Entity Type | Individual |
| Full Name | CAROLYN LESLIE GILBERTSON |
| Credential | PHARMD |
| Practice Address |
11990 Business Park Blvd N Champlin MN 55316-2005 |
| Mailing Address |
4079 Douglas Dr N Crystal MN 55422-1617 |
| Practice Telephone | 7633541007 |
| Mailing Telephone | 6127307078 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 120917 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679835979 | Carolyn Gilbertson | Family Medicine | 6110 S Minnesota Ave, Sioux Falls, SD 57108-2571 | 2012-06-12 |
| Street Address |
11990 BUSINESS PARK BLVD N |
| City | CHAMPLIN |
| State | MN |
| Zip Code | 55316-2005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720042625 | Jan Elaine Youngblood | Nurse Practitioner | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2006-04-17 |
| 1336774207 | Megan Joyce Keller | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2020-03-11 |
| 1942668637 | Jennifer Ruhland | Physician Assistant | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2016-02-09 |
| 1710362314 | Alicia Jo Deneen | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-07-23 |
| 1952782690 | Kyle Henderson | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-06-17 |
| 1821422874 | Mariah J Olson | Pharmacist | 11990 Business Park Blvd N, T-1831, Champlin, MN 55316-2005 | 2013-08-27 |
| 1366886202 | Brian S Falbo | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2013-04-22 |
| 1730429564 | Shawn Murphy | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2013-02-14 |
| 1356620546 | Katherine Jones | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2011-08-05 |
| 1336433325 | Kristi Kadrmas | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2011-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493903 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 11995 Business Park Blvd N, Champlin, MN 55316 | 2020-10-02 |
| 1598300675 | Dentalign, Pa | Dentist | 11942 Business Park Blvd, Champlin, MN 55316 | 2019-11-12 |
| 1811463573 | Vikings Home Health Care LLC | Meals | 11551 Georgia Ave, N, Champlin, MN 55316 | 2018-10-22 |
| 1255853305 | Matthew L Boelter | Hearing Instrument Specialist | 11451 Oregon Ave N, Champlin, MN 55316 | 2017-07-11 |
| 1194198309 | Champlin Dentistry, PC | Dentist | 11231 Aquila Drive N, Champlin, MN 55316 | 2015-11-10 |
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1346502523 | Transitions Home Care Ltd | Home Health | 11030 Douglas Drive North, Champlin, MN 55316 | 2012-06-13 |
| 1639373285 | Michael D Smilanich | Dentist | 11231 Aquila Dr N, Champlin, MN 55316 | 2007-06-14 |
| 1760532907 | Kurt Allan Bender | Dentist | 500 A Jefferson Hwy, Champlin, MN 55316 | 2007-01-11 |
| 1366529752 | Gregory Allan Holmberg | Chiropractor | #8 3rd Street Nw, Osseo, MN 55316 | 2006-11-01 |
| Find all providers in zip 55316 | ||||
| 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 |
|---|---|---|---|---|
| 1336557412 | Kelsey Voigt | Pharmacist | 11990 Business Park Blvd, Champlin, MN 55316 | 2014-08-01 |
| 1760098172 | Jacob Phillip Lang | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2020-09-21 |
| 1558975821 | Spencer Todd Stromback | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2020-09-03 |
| 1427661271 | Stacy Millner | Pharmacist | 8600 114th Ave N, Champlin, MN 55316-3869 | 2020-08-30 |
| 1336774207 | Megan Joyce Keller | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2020-03-11 |
| 1710362314 | Alicia Jo Deneen | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-07-23 |
| 1952782690 | Kyle Henderson | Pharmacist | 11990 Business Park Blvd N, Champlin, MN 55316-2005 | 2015-06-17 |
| 1255742144 | Daniel Roehl | Pharmacist | 11401 Marketplace Dr N, Champlin, MN 55316-3794 | 2014-05-13 |
| 1821422874 | Mariah J Olson | Pharmacist | 11990 Business Park Blvd N, T-1831, Champlin, MN 55316-2005 | 2013-08-27 |
| 1134565658 | Sarah Sidler | Pharmacist | 8600 114th Ave N, Champlin, MN 55316-3869 | 2013-05-13 |
| Find all providers in CHAMPLIN | ||||
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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.