EDWIN MA THAO
NPI 1871069310
Pharmacist in Coon Rapids, MN

Active since October 23, 2018
11850 BLACKFOOT ST NW STE 190, COON RAPIDS, MN 55433(763) 236-7111 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Oct 23, 2018 (2 updates tracked since 2018).

About Edwin Ma Thao NPPES

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

EDWIN MA THAO (NPI 1871069310) is an individual pharmacist in Coon Rapids, Minnesota, licensed in Minnesota (125332) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1871069310
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameEDWIN MA THAO
Location Address11850 BLACKFOOT ST NW STE 190Coon Rapids, MN 55433-2583
Mailing Address18212 79th Pl NMaple Grove, MN 55311-1911
Sole ProprietorNo
Enumeration DateOctober 23, 2018
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1871069310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in MN · 125332 Licensed in CA · 79678
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.
11850 BLACKFOOT ST NW STE 190, Coon Rapids, MN 55433

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.

Pharmacy (Community/Retail Pharmacy)
11850 BLACKFOOT ST NW STE 190
COON RAPIDS, MN 55433
Pharmacy (Community/Retail Pharmacy)
11850 BLACKFOOT ST NW STE 190
COON RAPIDS, MN 55433
Pharmacist
11850 BLACKFOOT ST NW STE 190
COON RAPIDS, MN 55433

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 Edwin Thao's NPI number?

The NPI number for Edwin Thao is 1871069310. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Edwin Thao located?

Edwin Thao practices at 11850 Blackfoot St NW Ste 190, Coon Rapids, MN 55433. The listed phone number is (763) 236-7111.

What is Edwin Thao'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 Edwin Thao was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.