Healthcare Provider Details

I. General information

NPI: 1679403083
Provider Name (Legal Business Name): CHAO YANG PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 GENEVA AVE N
OAKDALE MN
55128-7409
US

IV. Provider business mailing address

2244 MINNEHAHA AVE E APT 101
SAINT PAUL MN
55119-3951
US

V. Phone/Fax

Practice location:
  • Phone: 651-731-4840
  • Fax:
Mailing address:
  • Phone: 651-731-8480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number127260
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: