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Edwin Ma Thao

Pharmacist β€’ Coon Rapids, MN

Active NPI 1871069310 Individual Practitioner Male Practitioner
Practice location in NPPES

11850 Blackfoot St Nw Ste 190
Coon Rapids, MN 554332583

Call 7632367111 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11850 Blackfoot St Nw Ste 190

Coon Rapids, MN 554332583

Telephone 7632367111
Organization at the Same NPPES Address or Phone
Allina Health System Facility NPI 1699739045

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Coon Rapids and Minnesota

61 active clinicians are listed under Pharmacist with a practice address in Coon Rapids, MN (4,917 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

0% of these 61 clinicians have the CMS telehealth indicator.

0% of these 61 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MN 125332

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES CA 79678

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 12, 2022

Registered at 11850 BLACKFOOT ST NW STE 190, COON RAPIDS, MN 554332583 (Tel: 7632367111)

πŸ“
Updated Business Mailing Address September 12, 2022

Registered at 18212 79TH PL N, MAPLE GROVE, MN 553111911

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Pharmacist (license number reported to NPPES: MN 125332)

βœ…
NPI Profile Active October 23, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2018

Registered at 1970 YOSEMITE PKWY, MERCED, CA 953415214 (Tel: 2097264113)

πŸ“
Business Mailing Address (Initial Record) October 23, 2018

Registered at 3750 PHEASANT CT, MERCED, CA 953408455

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2018

Recorded as EDWIN THAO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2018

Pharmacist (license number reported to NPPES: CA 79678)

🟒
Initial NPI Registration & Enumeration October 23, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1871069310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2018
Last Update: September 12, 2022
Sole Proprietor: No

Other Pharmacists in Coon Rapids

Healthcare providers in Coon Rapids

Mailing Address

18212 79th Pl N

Maple Grove, MN 553111911

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.