Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MADELINE NICOLE DETRA
NPI 1992634885
Pharmacist in Anoka, MN

Active since May 16, 2026
2621 GREENHAVEN RD, ANOKA, MN 55303(763) 421-5540 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 13, 2026, May 16, 2026 (2 updates tracked since 2026).

About Madeline Nicole Detra NPPES

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

MADELINE NICOLE DETRA (NPI 1992634885) is an individual pharmacist in Anoka, Minnesota, licensed in Minnesota (1346244274) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1992634885
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMADELINE NICOLE DETRA
Location Address2621 GREENHAVEN RDAnoka, MN 55303-5566
Mailing Address2621 Greenhaven RdAnoka, MN 55303-5566 · (763) 421-5540
Sole ProprietorNo
Enumeration DateMay 16, 2026
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1992634885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in MN · 1346244274
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.
2621 GREENHAVEN RD, Anoka, MN 55303

Accepted Insurance

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.

Family Medicine
2621 GREENHAVEN RD
ANOKA, MN 55303
Nurse Practitioner
2621 GREENHAVEN RD
ANOKA, MN 55303
Advanced Practice Midwife
2621 GREENHAVEN RD
ANOKA, MN 55303
Pharmacist
2621 GREENHAVEN RD
ANOKA, MN 55303
Physician Assistant
2621 GREENHAVEN RD
ANOKA, MN 55303
Nurse Practitioner
2621 GREENHAVEN RD
ANOKA, MN 55303
Physician Assistant
2621 GREENHAVEN RD
ANOKA, MN 55303
Physician Assistant
2621 GREENHAVEN RD
ANOKA, MN 55303

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 Madeline Detra's NPI number?

The NPI number for Madeline Detra is 1992634885. It was assigned to this individual provider in the NPPES registry on May 16, 2026.

Where is Madeline Detra located?

Madeline Detra practices at 2621 Greenhaven Rd, Anoka, MN 55303. The listed phone number is (763) 421-5540.

What is Madeline Detra's specialty?

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

What insurance does Madeline Detra accept?

Health plans from HealthPartners list Madeline Detra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madeline Detra was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.