Active NPI
Derek Douglas Borkowski, PHARMD, RPH
- Pharmacist
- Minneapolis, MN
National Provider Identifier
1063994085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123851
- Practice address
- 2610 Central Ave NE
Minneapolis, MN 55418-2911 - Phone
- (612) 789-6251
- NPI assigned
- Sep 6, 2018
- 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 | 123851 | MN | Primary |
Addresses
Primary practice location
2610 Central Ave NE
Minneapolis, MN 55418-2911
Mailing address
10 2ND St SE Unit 215
Minneapolis, MN 55414-4477
Phone (507) 429-3707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123851 | Other | MN | PHARMACIST 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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123851 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1063994085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 2ND ST SE UNIT 215",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554144477",
"telephone_number": "507-429-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 CENTRAL AVE NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554182911",
"telephone_number": "612-789-6251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORKOWSKI",
"first_name": "DEREK",
"middle_name": "DOUGLAS",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "123851",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.