Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871069310 Individual Practitioner Male Practitioner

Edwin Ma Thao

Pharmacist • Coon Rapids, MN

Professional Overview & Biography Verified Profile Summary

Edwin Thao is a registered healthcare professional specializing in Pharmacist in Coon Rapids, MN. Practice services are available at 11850 BLACKFOOT ST NW STE 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11850 Blackfoot St Nw Ste 190

Coon Rapids, MN 554332583

Telephone 7632367111
Associated Practice Facility / Clinic
🏢 Allina Health System Facility NPI 1699739045

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Coon Rapids, MN

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

Practicing in Coon Rapids, 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: 2022-09-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 125332

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License CA 79678

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 1174664585

Doctor of Pharmacy (Pharm.D.)

Kalil Donzo

Pharmacist

NPI 1609598804

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 12, 2022

Registered at 11850 BLACKFOOT ST NW STE 190, COON RAPIDS, MN 554332583 (Tel: 7632367111)

📍
Updated Business Mailing Address September 12, 2022

Registered at 18212 79TH PL N, MAPLE GROVE, MN 553111911

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2022

Pharmacist (License #125332 in MN)

NPI Profile Active October 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2018

Registered at 1970 YOSEMITE PKWY, MERCED, CA 953415214 (Tel: 2097264113)

📍
Updated Business Mailing Address October 23, 2018

Registered at 3750 PHEASANT CT, MERCED, CA 953408455

👤
Provider Name / Credentials Updated October 23, 2018

Recorded as EDWIN THAO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2018

Pharmacist (License #79678 in CA)

🟢
Initial NPI Registration & Enumeration October 23, 2018

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: 1871069310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2018
Last Update: September 12, 2022
Sole Proprietor: No

Mailing Address

18212 79th Pl N

Maple Grove, MN 553111911

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.