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Active NPI 1073140562 Individual Practitioner Male Practitioner

Dr. Emmanuel Odeng-Otu , PharmD

Pharmacist • Shakopee, MN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Emmanuel Odeng-Otu, PharmD is a registered healthcare professional specializing in Pharmacist in Shakopee, MN. Official NPI practice address is registered at 4050 DEAN LAKES BLVD.

Practice Location & Contact Primary Location

Practice Address

4050 Dean Lakes Blvd

Shakopee, MN 553792714

Telephone 9524029039
Associated Practice Facility / Clinic
🏢 Grand St Paul Cvs Llc Facility NPI 1710005830

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Shakopee, MN

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

Practicing in Shakopee, 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: 2020-03-24
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 122144

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

4 Associated Practitioners
Sarah Clark , FNP

Nurse Practitioner - Family

NPI 1205446077

Family Nurse Practitioner

NPI 1275168627
NPI 1770119265

Doctor of Pharmacy (Pharm.D.)

NPI 1780391755

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 March 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2020

Registered at 4050 DEAN LAKES BLVD, SHAKOPEE, MN 553792714 (Tel: 9524029039)

📍
Updated Business Mailing Address March 24, 2020

Registered at 1467 KINGSWOOD PONDS OVERLOOK, EAGAN, MN 551222880 (Tel: 9196997740)

👤
Provider Name / Credentials Updated March 24, 2020

Recorded as EMMANUEL ODENG-OTU, PHARM. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2020

Pharmacist (License #122144 in MN)

🟢
Initial NPI Registration & Enumeration March 24, 2020

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: 1073140562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2020
Last Update: March 24, 2020
Sole Proprietor: No

Mailing Address

1467 Kingswood Ponds Overlook

Eagan, MN 551222880

Phone: 9196997740

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.