Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992197107 Individual Practitioner Female Practitioner

Dr. Chantra Prom , PharmD

Pharmacist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Chantra Prom, PharmD is a registered healthcare professional specializing in Pharmacist in Bloomington, MN. Practice services are available at 7940 PENN AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7940 Penn Ave S

Bloomington, MN 554311315

Telephone 9522521154
Fax 9522521157
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1790881241

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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 121468

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

3 Associated Practitioners
NPI 1508141730

Doctor of Pharmacy (Pharm.D.)

Pinaki Patel

Pharmacist

NPI 1619588563
NPI 1629354527

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 25, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2015

Registered at 7940 PENN AVE S, BLOOMINGTON, MN 554311315 (Tel: 9522521154)

📍
Updated Business Mailing Address February 25, 2015

Registered at 7940 PENN AVE S, BLOOMINGTON, MN 554311315 (Tel: 9522521154)

👤
Provider Name / Credentials Updated February 25, 2015

Recorded as CHANTRA PROM, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2015

Pharmacist (License #121468 in MN)

🟢
Initial NPI Registration & Enumeration February 25, 2015

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: 1992197107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2015
Last Update: February 25, 2015
Sole Proprietor: Yes

Mailing Address

7940 Penn Ave S

Bloomington, MN 554311315

Phone: 9522521154

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.