Active NPI
William F Garrison, RPH
- Pharmacist
- Center City, MN
National Provider Identifier
1013949965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2613068
- Practice address
- 320 Summit Ave
Center City, MN 55012-0127 - Phone
- (651) 257-4500
- Fax
- (651) 257-8296
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2613068 | MN | Primary |
Addresses
Primary practice location
320 Summit Ave
Center City, MN 55012-0127
Mailing address
320 Summit Ave
PO Box 127
Center City, MN 55012-0127
Phone (651) 257-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2410316 | Other | MN | NABP |
| 2613068 | Other | MN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613068 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordy'S Pharmacy Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Center City, MN
- NPI 1972782290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013949965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SUMMIT AVE",
"address_2": "PO BOX 127",
"city": "CENTER CITY",
"state": "MN",
"postal_code": "550120127",
"telephone_number": "651-257-4500",
"fax_number": "651-257-8296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SUMMIT AVE",
"city": "CENTER CITY",
"state": "MN",
"postal_code": "550120127",
"telephone_number": "651-257-4500",
"fax_number": "651-257-8296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRISON",
"first_name": "WILLIAM",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "2613068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2410316",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "2613068",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Center City, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.