Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952782690 Individual Practitioner Male Practitioner

Kyle Henderson

Pharmacist • Champlin, MN

Professional Overview & Biography Verified Profile Summary

Kyle Henderson is a registered healthcare professional specializing in Pharmacist in Champlin, MN. Practice services are available at 11990 BUSINESS PARK BLVD N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11990 Business Park Blvd N

Champlin, MN 553162005

Telephone 7633541007
Associated Practice Facility / Clinic
🏢 Grand St Paul Cvs Llc Facility NPI 1306868096

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Champlin, MN

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

Practicing in Champlin, 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 122234

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

9 Associated Practitioners
NPI 1245524511

Doctor of Pharmacy (Pharm.D.)

Kristi Kadrmas

Pharmacist

NPI 1336433325
Kelsey Voigt

Pharmacist

NPI 1336557412
NPI 1356620546

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1366886202

Registered Pharmacist

NPI 1699028761

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 June 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2015

Registered at 11990 BUSINESS PARK BLVD N, CHAMPLIN, MN 553162005 (Tel: 7633541007)

📍
Updated Business Mailing Address June 17, 2015

Registered at 9770 NORWAY ST NW, COON RAPIDS, MN 554335000 (Tel: 6054314197)

👤
Provider Name / Credentials Updated June 17, 2015

Recorded as KYLE HENDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2015

Pharmacist (License #122234 in MN)

🟢
Initial NPI Registration & Enumeration June 17, 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: 1952782690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2015
Last Update: June 17, 2015
Sole Proprietor: No

Mailing Address

9770 Norway St Nw

Coon Rapids, MN 554335000

Phone: 6054314197

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.