What is Mark Boudreau's NPI number?

Mark Boudreau's National Provider Identifier (NPI) is 1558996884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mark Boudreau's specialty?

Mark Boudreau is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Mark Boudreau located?

Mark Boudreau's practice location on file with NPPES is 3913 W Old Shakopee Rd, Bloomington, MN 55437-2944.

What is Mark Boudreau's phone number?

The practice phone number listed in the NPPES registry for Mark Boudreau is (952) 252-1062.

Is Mark Boudreau's NPI active?

Yes — Mark Boudreau's NPI (1558996884) is active in the NPPES registry as of the last update on 2020-03-06.

IndividualActive

Mark Boudreau, PHARMD

NPI 1558996884 · Pharmacist · Bloomington, MN

Mark Boudreau, PHARMD is a Pharmacist provider in Bloomington, MN (NPI 1558996884).

Provider details

NPI number: 1558996884
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 19470-40 (WI)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 19470-40 (WI)
Pharmacy Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3913 W Old Shakopee Rd

Bloomington, MN 55437-2944

Phone: (952) 252-1062

Street-level locationGet directions

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Mailing address