Individual provider Active NPI

William F Garrison, RPH

  • Pharmacist
  • Center City, MN
National Provider Identifier
1013949965
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2613068 Issued in MN
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2410316OtherMNNABP
2613068OtherMNSTATE 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

LicenseStateTypeSpecialty
2613068MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.