Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1538834882 Deactivated / Inactive NPI Female Practitioner

Dr. Iris Mae Wenceslao , PharmD

Pharmacist • Brooklyn Park, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Iris Wenceslao has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2021
NPI Deactivation Date June 20, 2022
Total Practice Duration ~1 Years of Practice (2021 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Iris Wenceslao, PharmD was a registered Pharmacist practicing in Brooklyn Park, MN. Throughout an active medical career spanning 1 years, Dr. Wenceslao provided care at the practice location at 4105 85TH AVE N STE 101 until profile deactivation on 2022-06-20.

Practice Location & Contact Primary Location

Practice Address

4105 85th Ave N Ste 101

Brooklyn Park, MN 554432055

Telephone 6125523314
Associated Practice Facility / Clinic
🏢 Olidia Staffing Inc Facility NPI 1235634395

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Brooklyn Park, MN

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

Practicing in Brooklyn Park, 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 125015

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.

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated June 20, 2022

Record deactivated on June 20, 2022

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Updated Practice Location January 19, 2022

Registered at 2800 PATTON RD, ROSEVILLE, MN 551131100 (Tel: 8475323166)

NPI Profile Active August 10, 2021

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2021

Registered at 4105 85TH AVE N STE 101, BROOKLYN PARK, MN 554432055 (Tel: 6125523314)

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Updated Business Mailing Address August 10, 2021

Registered at 430 MENDOTA RD W APT 312, WEST SAINT PAUL, MN 551184762 (Tel: 8475323166)

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Provider Name / Credentials Updated August 10, 2021

Recorded as IRIS WENCESLAO, PHARMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2021

Pharmacist (License #125015 in MN)

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Initial NPI Registration & Enumeration August 10, 2021

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: 1538834882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2021
Last Update: August 10, 2021
Deactivation Date: June 20, 2022

Mailing Address

430 Mendota Rd W Apt 312

West Saint Paul, MN 551184762

Phone: 8475323166

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.