Unknown Individual – Pharmacist, NPI 1508867037

Unknown Individual is a healthcare provider. based in Kimball, Minnesota. specializing in Pharmacist. They hold a License No. 109535-4 (MN). The NPI Number for Unknown Individual is 1508867037

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508867037
Phone
(320) 398-2062
Address
19289 E SHORE DR
Deactivation Date
16 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 19289 E SHORE DR

    KIMBALL, MN 553532752

    Phone: (320) 398-2062

    Type: Mailing

  • 100, Monroe Street, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553032405

    Phone: (763) 421-5540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55353)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1508867037 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Pharmacist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Kimball, Minnesota as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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