KAITLIN M. BOURGEOIS PHARMD – NPI #1265114607
Pharmacist

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.

KAITLIN BOURGEOIS is a pharmacist located in SAINT PAUL, MN. NPPES has assigned the NPI number 1265114607 to KAITLIN BOURGEOIS on August 04, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name KAITLIN MARIE BREDENKAMP. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was last updated on Jan 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KAITLIN BOURGEOIS below.

NPI Profile for
KAITLIN M. BOURGEOIS

NPI Number
1265114607
Enumeration Date

(about 3 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KAITLIN M. BOURGEOIS
Former Name: KAITLIN MARIE BREDENKAMP
Credentials
PHARMD
Primary location
153 CESAR CHAVEZ ST
SAINT PAUL, MN 55107-2226
Phone: (651) 602-7500 Fax:
2 Other location(s):
2700 Lincoln Dr
Roseville, MN 55113-1333
Phone: (651) 636-9369
895 7th St E
Saint Paul, MN 55106-3871
Phone: (651) 602-7500
Mailing address
180 COUNTY ROAD B2 E APT 35
LITTLE CANADA, MN 55117-1517
Phone: (763) 302-9624 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
MN 126070

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.