Randy Gettis, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

117615 Issued in MN

Practice address

1250 Goemann Rd
Fairmont, MN 56031-4659

Phone

(507) 235-2517

NPI assigned

Oct 15, 2020

Last updated

Oct 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1063010569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 1ST AVE NW",
            "city": "WINNEBAGO",
            "state": "MN",
            "postal_code": "560981042",
            "telephone_number": "507-236-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GOEMANN RD",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314659",
            "telephone_number": "507-235-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETTIS",
        "first_name": "RANDY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Forstner, DDS
• Amanda J Forstrom, PT
• Robert Friese, OD
• Michelle Larae Geerdes, OTR/L
• Reed E Gethmann
• Jesse G Grantz, DDS
• Jauclyn Renee Green, NP
• Jeffery Green, M.D.
• Bryan Gregor
• Laura Elizabeth Grigereit, MD

• Pharmacist in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.