MARK BOUDREAU PHARMD
NPI 1558996884
Pharmacist in Bloomington, MN

Active since March 06, 2020
3913 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55437(952) 252-1062 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mark Boudreau Pharmd NPPES

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

MARK BOUDREAU PHARMD (NPI 1558996884) is an individual pharmacist in Bloomington, Minnesota, licensed in Wisconsin (19470-40) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1558996884
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMARK BOUDREAUCredential: PHARMD
Location Address3913 W OLD SHAKOPEE RDBloomington, MN 55437-2944
Mailing Address3913 W Old Shakopee RdBloomington, MN 55437-2944 · (952) 252-1062
Sole ProprietorNo
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1558996884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in WI · 19470-40
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.
3913 W OLD SHAKOPEE RD, Bloomington, MN 55437

Other Providers at the Same Location NPPES 3

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

Pharmacist
3913 W OLD SHAKOPEE RD
BLOOMINGTON, MN 55437
Pharmacist
3913 W OLD SHAKOPEE RD
BLOOMINGTON, MN 55437
Pharmacy
3913 W OLD SHAKOPEE RD
BLOOMINGTON, MN 55437

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 Mark Boudreau's NPI number?

The NPI number for Mark Boudreau is 1558996884. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Mark Boudreau located?

Mark Boudreau practices at 3913 W Old Shakopee Rd, Bloomington, MN 55437. The listed phone number is (952) 252-1062.

What is Mark Boudreau'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 Mark Boudreau was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.