MRS. KENDRA LYNN SMITH (NPI# 1992075642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992075642 |
| Entity Type | Individual |
| Full Name | MRS. KENDRA LYNN SMITH |
| Credential | RPH |
| Practice Address |
1788 Old Hudson Rd Saint Paul MN 55119-4307 |
| Practice Telephone | 6517319633 |
| Practice Fax Number | 6517319678 |
| Mailing Telephone | 6517319633 |
| Mailing Fax Number | 6517319678 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 117860 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295267649 | Kendra Beth Smith | Student in an Organized Health Care Education/Training Program | 6 Steele Hollow Rd, Spencer, WV 25276-9113 | 2017-04-03 |
| 1720488638 | Kendra Bailey Smith | Specialist/Technologist | 15 N 1050 W, Kaysville, UT 84037-2483 | 2014-08-27 |
| 1538390067 | Kendra Ann Smith | Psychologist | James Taylor Campus Health Bldg, Cb# 7470, Chapel Hill, NC 27599-7470 | 2009-07-31 |
| 1083868392 | Kendra M Smith | Emergency Medicine | 4803 10th Ave, Brooklyn, NY 11219 | 2008-11-13 |
| 1548871833 | Kendra Smith | Pharmacist | 206 N Main St, Crookston, MN 56716-1743 | 2020-08-11 |
| 1548879067 | Kendra De'von Smith | Advanced Practice Midwife | 1080 Neal St Ste 200, Cookeville, TN 38501-0944 | 2020-07-30 |
| 1154962512 | Kendra Smith | Physical Therapist | 13336 Industrial Rd Ste 105, Omaha, NE 68137-1124 | 2019-10-07 |
| 1740754829 | Kendra Michelle Smith | Nurse Practitioner | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2019-01-11 |
| 1528530854 | Kendra Smith | Behavior Technician | 1021 Springboard Dr, Hershey, PA 17033-8820 | 2018-12-27 |
| 1952873648 | Kendra Lyn Smith | Anesthesiology | 441 N Wabash Ave, Marion, IN 46952-2612 | 2018-12-19 |
| Street Address |
1788 OLD HUDSON RD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55119-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396750527 | Walgreen Co | Pharmacy | 1788 Old Hudson Rd, Saint Paul, MN 55119-4307 | 2006-07-29 |
| 1528335106 | John C. Sandstrom | Pharmacist | 1788 Old Hudson Rd, Saint Paul, MN 55119-4307 | 2011-11-25 |
| 1710263017 | Kevin Olander | Pharmacist | 1788 Old Hudson Rd, Saint Paul, MN 55119-4307 | 2011-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520307 | Restorative Healing & Counseling, LLC | Social Worker | 385 Londin Place, St. Paul, MN 55119 | 2020-02-13 |
| 1891282059 | Tyller Robert | Specialist/Technologist | 2594 Montana Ave E, Maplewood, MN 55119 | 2018-04-13 |
| 1477081032 | Katarzyna Zelichowski | Dentist | 1790 7th St. E, St.paul, MN 55119 | 2017-05-26 |
| 1952769333 | Rufus Zarzar | Non-emergency Medical Transport (VAN) | 230 Kipling St S # C6, St Paul, MN 55119 | 2016-02-01 |
| 1144611427 | Eric Michael Weisnicht | Chiropractor | 165 Mcknight Road N, Apt 105, Saint Paul, MN 55119 | 2015-02-09 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1205111770 | Rem Ramsey, Inc. | Intermediate Care Facility, Mentally Retarded | 975 Lakewood Drive, Maplewood, MN 55119 | 2011-10-17 |
| 1528391976 | Kc Healthcare Services | Home Health | 295 Mcnight Road South, St Paul, MN 55119 | 2009-09-16 |
| 1073759510 | Life Fountain Home Health Care Inc | Home Health | 1380 Currie St N, Maplewood, MN 55119 | 2009-01-06 |
| 1295858991 | Dental Delivery Systems St Paul, Pa | Dentist | 1790 7th Street E., St. Paul, MN 55119 | 2007-04-09 |
| Find all providers in zip 55119 | ||||
| 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 |
|---|---|---|---|---|
| 1609486877 | Jonathon Montag | Pharmacist | 122 Wabasha St S, Saint Paul, MN 55107-1896 | 2020-08-03 |
| 1821608217 | Veasna Marcus Chak | Pharmacist | 2197 Old Hudson Rd, Saint Paul, MN 55119-4404 | 2020-07-31 |
| 1780205559 | Sarah Jastram | Pharmacist | 862 Smith Ave S, Saint Paul, MN 55107-3527 | 2020-05-02 |
| 1770118143 | Peter Nguyen | Pharmacist | 2080 Ford Parkway, Saint Paul, MN 55116-5511 | 2020-03-06 |
| 1063875441 | Rahel Kitilla | Pharmacist | 245 Maryland Ave E, Saint Paul, MN 55117-4617 | 2016-04-01 |
| 1548635881 | Morah Ngozi Nwaneri | Pharmacist | 1703 Bohland Ave, Saint Paul, MN 55116-2126 | 2015-12-12 |
| 1043683469 | Valerie Ann Pilgrim | Pharmacist | 2860 Jordan Dr, Saint Paul, MN 55125-2833 | 2015-11-06 |
| 1336523596 | Amy Rahm | Pharmacist | 240 Spring St Unit 515, Saint Paul, MN 55102-4707 | 2015-07-16 |
| 1649659939 | Seth Runkle | Pharmacist | 2080 Ford Pkwy, Saint Paul, MN 55116-1813 | 2015-05-20 |
| 1427452747 | Trish Kanous | Pharmacist | 1085 Dayton Ave, Saint Paul, MN 55104-6504 | 2014-10-15 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55119 |
Please comment or provide details below to improve the information on MRS. KENDRA LYNN SMITH.
| 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.