Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669856852 Individual Practitioner Male Practitioner

Devon Rudolph

Pharmacist • Grand Rapids, MN

Professional Overview & Biography Verified Profile Summary

Devon Rudolph is a registered healthcare professional specializing in Pharmacist in Grand Rapids, MN. Practice services are available at 2026 S POKEGAMA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2026 S Pokegama Ave

Grand Rapids, MN 557444288

Telephone 2183269431
Associated Practice Facility / Clinic
🏢 Thrifty Drug Stores Inc Facility NPI 1235228834

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Grand Rapids, MN

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

Practicing in Grand 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 122337

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

5 Associated Practitioners
NPI 1043659451

Registered Pharmacist

Lori Ylitalo

Registered Nurse

NPI 1386289502
NPI 1447772603

Doctor of Pharmacy (Pharm.D.)

Rachel Kerr , RN

Registered Nurse

NPI 1750922787

Registered Nurse

NPI 1831512854

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 July 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2015

Registered at 2026 S POKEGAMA AVE, GRAND RAPIDS, MN 557444288 (Tel: 2183269431)

📍
Updated Business Mailing Address July 17, 2015

Registered at 2026 S POKEGAMA AVE, GRAND RAPIDS, MN 557444288

👤
Provider Name / Credentials Updated July 17, 2015

Recorded as DEVON RUDOLPH

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

Pharmacist (License #122337 in MN)

🟢
Initial NPI Registration & Enumeration July 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: 1669856852
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2015
Last Update: July 17, 2015
Sole Proprietor: Yes

Mailing Address

2026 S Pokegama Ave

Grand Rapids, MN 557444288

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.