Active NPI
Anthony Timothy Culbertson, PHARMD
- Pharmacist
- Maple Grove, MN
National Provider Identifier
1043924889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125798
- Practice address
- 9451 Dunkirk LN N
Maple Grove, MN 55311 - Phone
- (763) 416-2300
- NPI assigned
- Jan 6, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 125798 | MN | Primary |
Addresses
Primary practice location
9451 Dunkirk LN N
Maple Grove, MN 55311
Mailing address
4755 Park Commons Dr Apt 222
St Louis Park, MN 55416-4294
Phone (763) 567-0950
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125798 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1043924889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4755 PARK COMMONS DR APT 222",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554164294",
"telephone_number": "763-567-0950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9451 DUNKIRK LN N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "55311",
"telephone_number": "763-416-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULBERTSON",
"first_name": "ANTHONY",
"middle_name": "TIMOTHY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.