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Active NPI 1760877138 Individual Practitioner Male Practitioner

Dr. Souksavanh Phaengkhouane , PharmD

Pharmacist • Brainerd, MN

Professional Overview & Biography Verified Profile Summary

Dr. Souksavanh Phaengkhouane, PharmD is a registered healthcare professional specializing in Pharmacist in Brainerd, MN. Practice services are available at 108 S 6TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 S 6th St

Brainerd, MN 564013575

Telephone 2188290347
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brainerd, MN

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

Practicing in Brainerd, 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 121927

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

11 Associated Practitioners
NPI 1033108386

Registered Pharmacist

Megan Krueger

Pharmacist

NPI 1043318470
NPI 1043774250

Doctor of Pharmacy (Pharm.D.)

NPI 1134767916

Doctor of Pharmacy (Pharm.D.)

NPI 1144587122

Doctor of Pharmacy (Pharm.D.)

Dr. Alison Kingsbury , PharmD

Pharmacist - Ambulatory Care

NPI 1154983989

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 April 02, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 02, 2015

Registered at 108 S 6TH ST, BRAINERD, MN 564013575 (Tel: 2188290347)

📍
Updated Business Mailing Address April 02, 2015

Registered at 108 S 6TH ST, BRAINERD, MN 564013575

👤
Provider Name / Credentials Updated April 02, 2015

Recorded as SOUKSAVANH PHAENGKHOUANE, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2015

Pharmacist (License #121927 in MN)

🟢
Initial NPI Registration & Enumeration April 02, 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: 1760877138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2015
Last Update: April 02, 2015
Sole Proprietor: No

Mailing Address

108 S 6th St

Brainerd, MN 564013575

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.