Unknown Individual – Pharmacist, NPI 1528064516

Unknown Individual is a healthcare provider. based in Cambridge, Minnesota. specializing in Pharmacist. They hold a License No. 113130-5 (MN). The NPI Number for Unknown Individual is 1528064516

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528064516
Phone
(763) 689-2370
Address
399 317TH AVE NW
Deactivation Date
21 January 2021
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

  • 399 317TH AVE NW

    CAMBRIDGE, MN 550086996

    Phone: (763) 689-2370

    Type: Mailing

  • Opportunity Boulevard North, Cambridge, Isanti County, Minnesota, 55008, United States

    CAMBRIDGE, MN 550085822

    Phone: (763) 689-0185

    Fax: (763) 689-0188

    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.

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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 55008)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1528064516 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pharmacist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Cambridge, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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