DR. GRANT SHAFT (NPI# 1831561406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831561406 |
| Entity Type | Individual |
| Full Name | DR. GRANT SHAFT |
| Credential | PHARMD. |
| Practice Address |
1762 Bluebill Cir Eagan MN 55122-1124 |
| Practice Telephone | 6125990750 |
| Mailing Telephone | 6125990750 |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 122540 | MN | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
122540 | MN | Pharmacy Service Providers |
| Street Address |
1762 BLUEBILL CIR |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| 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 |
|---|---|---|---|---|
| 1104305762 | Leslie Anne Condon | Pharmacist | 4733 Covington Ct, Eagan, MN 55122-2748 | 2018-08-14 |
| 1275919821 | Ashish Vartak | Pharmacist | 721 Windmill Ct, Eagan, MN 55123-1675 | 2015-08-05 |
| 1174800262 | Joshua Otis Johnson | Pharmacist | 3400 Yankee Dr, Eagan, MN 55121-1627 | 2011-11-03 |
| 1528356011 | Alexandra Durr | Pharmacist | 2900 Ames Crossing Rd, Eagan, MN 55121-2498 | 2011-07-18 |
| 1689962714 | Krstine Ann Kuhnlysage | Pharmacist | 2000 Cliff Lake Road, T-0360, Eagan, MN 55122-2400 | 2011-07-11 |
| 1144353251 | Alan H Heaton | Pharmacist | 1750 Yankee Doodle Rd, Eagan, MN 55121-1600 | 2007-03-14 |
| 1336271998 | Marsha Katherine Millonig | Pharmacist | 3153 Doneene Ln, Eagan, MN 55121-1172 | 2007-03-09 |
| 1609908268 | Jacqueline Marie Retka | Pharmacist | 1527 Deerwood Bnd, Eagan, MN 55122-1916 | 2007-03-09 |
| 1831233261 | Melissa Odorzynski | Pharmacist | 3459 Washington Dr, Suite 200a, Eagan, MN 55122-1347 | 2007-02-18 |
| 1326025958 | Stephanie Dauer | Pharmacist | 1305 Corporate Center Dr, Eagan, MN 55121-1204 | 2005-12-24 |
| 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.