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Active NPI 1558996884 Individual Practitioner Male Practitioner

Dr. Mark Boudreau , PharmD

Pharmacist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Boudreau, PharmD is a registered healthcare professional specializing in Pharmacist in Bloomington, MN. Practice services are available at 3913 W OLD SHAKOPEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3913 W Old Shakopee Rd

Bloomington, MN 554372944

Telephone 9522521062
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1841424926

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Bloomington, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-06
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WI 19470-40

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1215160056

Doctor of Pharmacy (Pharm.D.), MPA

Kristin Slocum

Pharmacist

NPI 1225314974

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 06, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 06, 2020

Registered at 3913 W OLD SHAKOPEE RD, BLOOMINGTON, MN 554372944 (Tel: 9522521062)

📍
Updated Business Mailing Address March 06, 2020

Registered at 3913 W OLD SHAKOPEE RD, BLOOMINGTON, MN 554372944 (Tel: 9522521062)

👤
Provider Name / Credentials Updated March 06, 2020

Recorded as MARK BOUDREAU, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2020

Pharmacist (License #19470-40 in WI)

🟢
Initial NPI Registration & Enumeration March 06, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558996884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2020
Last Update: March 06, 2020
Sole Proprietor: No

Mailing Address

3913 W Old Shakopee Rd

Bloomington, MN 554372944

Phone: 9522521062

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.