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Active NPI 1326776006 Individual Practitioner Male Practitioner

Jake Bloms , DOCTOR OF PHARMACY

Pharmacist • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Jake Bloms, DOCTOR OF PHARMACY is a registered healthcare professional specializing in Pharmacist in Saint Cloud, MN. Practice services are available at 1921 COBORN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1921 Coborn Blvd

Saint Cloud, MN 563012100

Telephone 3202524222

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Saint Cloud, MN

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

Practicing in Saint Cloud, 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: 2022-08-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 125717

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacy License
125717 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Mackenzie Baumgartner

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1104651850
NPI 1295212181

Doctor of Pharmacy (Pharm.D.)

NPI 1356061501

Doctor of Pharmacy (Pharm.D.)

NPI 1376104604

Doctor of Pharmacy (Pharm.D.)

NPI 1376343814

Doctor of Pharmacy (Pharm.D.)

NPI 1386567436

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2022

Registered at 1921 COBORN BLVD, SAINT CLOUD, MN 563012100 (Tel: 3202524222)

📍
Updated Business Mailing Address August 10, 2022

Registered at 8555 QUADAY AVE NE UNIT 303, OTSEGO, MN 553306588 (Tel: 7012635774)

👤
Provider Name / Credentials Updated August 10, 2022

Recorded as JAKE BLOMS, DOCTOR OF PHARMACY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2022

Pharmacist (License #125717 in MN)

🟢
Initial NPI Registration & Enumeration August 10, 2022

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: 1326776006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2022
Last Update: August 10, 2022
Sole Proprietor: No

Mailing Address

8555 Quaday Ave Ne Unit 303

Otsego, MN 553306588

Phone: 7012635774

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.