Healthcare Provider Details

I. General information

NPI: 1720595440
Provider Name (Legal Business Name): JANE AXELROD BISCHOFF PHARMD, BCPP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE MADELEINE AXELROD PHARMD, BCPP

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 VETERANS DR
MINNEAPOLIS MN
55417-2300
US

IV. Provider business mailing address

10217 YUKON AVE S
BLOOMINGTON MN
55438-2059
US

V. Phone/Fax

Practice location:
  • Phone: 612-467-4149
  • Fax:
Mailing address:
  • Phone: 952-240-6146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number123300
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number123300
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: