KAITLIN MARIE BOURGEOIS PHARMD
NPI 1265114607
Pharmacist in Saint Paul, MN

Active since August 04, 2023
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107(651) 602-7500 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlin Marie Bourgeois Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN MARIE BOURGEOIS PHARMD (NPI 1265114607) is an individual pharmacist in Saint Paul, Minnesota, licensed in Minnesota (126070) and active in the NPI registry since August 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265114607
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKAITLIN MARIE BOURGEOISCredential: PHARMD
Location Address153 CESAR CHAVEZ STSaint Paul, MN 55107-2226
Mailing Address180 County Road B2 E Apt 35Little Canada, MN 55117-1517 · (763) 302-9624
Sole ProprietorNo
Enumeration DateAugust 4, 2023
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
NPI 1265114607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 126070
Definition
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.
153 CESAR CHAVEZ ST, Saint Paul, MN 55107

Other Names 1

Former Name (1)Kaitlin Marie Bredenkamp

Secondary Practice Locations 2

Location 12700 Lincoln DrRoseville, MN 55113-1333 · Phone (651) 636-9369
Location 2895 7th St ESaint Paul, MN 55106-3871 · Phone (651) 602-7500

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Physician Assistant (Medical)
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Pharmacist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Advanced Practice Midwife
153 CESAR CHAVEZ ST, WESTSIDE COMMUNITY HEALTH SERVICES, INC.
W. ST. PAUL, MN 55107
Nurse Practitioner
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Marriage & Family Therapist
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107
Advanced Practice Midwife
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Bourgeois's NPI number?

The NPI number for Kaitlin Bourgeois is 1265114607. It was assigned to this individual provider in the NPPES registry on August 4, 2023. The provider is also known as Kaitlin Marie Bredenkamp.

Where is Kaitlin Bourgeois located?

Kaitlin Bourgeois practices at 153 Cesar Chavez St, Saint Paul, MN 55107. The listed phone number is (651) 602-7500.

What is Kaitlin Bourgeois's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kaitlin Bourgeois was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.