JAMES EDWIN KLUSSMAN (NPI# 1902404817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902404817 |
| Entity Type | Individual |
| Full Name | JAMES EDWIN KLUSSMAN |
| Practice Address |
8450 University Ave Ne Fridley MN 55432-1164 |
| Practice Telephone | 7637809500 |
| Mailing Telephone | 7637809500 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 118886 | MN | Pharmacy Service Providers |
| Street Address |
8450 UNIVERSITY AVE NE |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043265267 | Julie M Blenker | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-05-24 |
| 1699373548 | Chad Baldner | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2020-10-13 |
| 1235689258 | Brian Kurt | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-10-13 |
| 1578018842 | Payeng Vue | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-08-16 |
| 1508217332 | Blenker Eye Care Pllc | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-06-22 |
| 1114000809 | Wal-mart Stores, Inc. | Technician/Technologist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-10-24 |
| 1104914183 | Carol Elizabeth Mcmanman | Optometrist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-10-11 |
| 1083631469 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| 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 |
|---|---|---|---|---|
| 1083958086 | Camanh Nguyen | Pharmacist | 7411 University Ave Ne, Fridley, MN 55432-3118 | 2012-11-15 |
| 1063409365 | Ann M Toscano | Pharmacist | 5255 E River Rd, Suite 204, Fridley, MN 55421-1026 | 2005-10-02 |
| 1699373548 | Chad Baldner | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2020-10-13 |
| 1346853785 | Dereje M Gemeda | Pharmacist | 6525 University Ave Ne, Fridley, MN 55432-4331 | 2020-08-25 |
| 1235741620 | Alyssa Devine | Pharmacist | 246 57th Ave Ne, Fridley, MN 55432-5420 | 2020-08-18 |
| 1336757194 | Elvis E Osagie | Pharmacist | 7362 University Ave Ne Ste 211, Fridley, MN 55432-3151 | 2020-07-17 |
| 1326662149 | Naomi Mehn Ngaima | Pharmacist | 755 53rd Ave Ne, Fridley, MN 55421-1240 | 2020-06-08 |
| 1306371505 | Blair J Miller | Pharmacist | 5255 E River Rd, Fridley, MN 55421-1026 | 2017-04-25 |
| 1235689258 | Brian Kurt | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-10-13 |
| 1578018842 | Payeng Vue | Pharmacist | 8450 University Ave Ne, Fridley, MN 55432-1164 | 2016-08-16 |
| Find all providers in FRIDLEY | ||||
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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.