KYLE HENDERSON
NPI 1952782690
Pharmacist in Champlin, MN

Active since June 17, 2015
11990 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316(763) 354-1007 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Henderson NPPES

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

KYLE HENDERSON (NPI 1952782690) is an individual pharmacist in Champlin, Minnesota, licensed in Minnesota (122234) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1952782690
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKYLE HENDERSON
Location Address11990 BUSINESS PARK BLVD NChamplin, MN 55316-2005
Mailing Address9770 Norway St NwCoon Rapids, MN 55433-5000 · (605) 431-4197
Sole ProprietorNo
Enumeration DateJune 17, 2015
NPI 1952782690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 122234
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.
11990 BUSINESS PARK BLVD N, Champlin, MN 55316

Other Providers at the Same Location NPPES 13

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

Pharmacist
11990 BUSINESS PARK BLVD N, T1831
CHAMPLIN, MN 55316
Pharmacy
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316
Pharmacist
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316
Pharmacist
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316
Pharmacist
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316
Pharmacist
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316
Pharmacist
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316
Nurse Practitioner (Family)
11990 BUSINESS PARK BLVD N
CHAMPLIN, MN 55316

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 Kyle Henderson's NPI number?

The NPI number for Kyle Henderson is 1952782690. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Kyle Henderson located?

Kyle Henderson practices at 11990 Business Park Blvd N, Champlin, MN 55316. The listed phone number is (763) 354-1007.

What is Kyle Henderson'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 Kyle Henderson was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.