Individual provider Active NPI

Ryan E Okerlund, PHARMD

  • Pharmacist
  • Bemidji, MN
National Provider Identifier
1083605489
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1178643 Issued in MN
Practice address
401 Beltrami Ave NW
Bemidji, MN 56601-3106
Phone
(218) 444-3000
Fax
(218) 444-6640
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1178643 MN Primary

Addresses

Primary practice location

401 Beltrami Ave NW
Bemidji, MN 56601-3106

Mailing address

401 Beltrami Ave NW
Bemidji, MN 56601-3106
Phone (218) 444-3000

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)
Enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1178643MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Iverson Corner Drug Inc CurrentSince Nov 1, 2018 Accepting new patients
Iverson Corner Drug Inc CurrentSince Jul 17, 2022 Accepting new patients

Locations

408 Minnesota Ave NW
Bemidji, MN 56601
Phone (218) 444-2000

401 Beltrami Ave NW
Bemidji, MN 56601
Phone (218) 444-3000

Organizations & group practices 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1083605489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013106",
            "telephone_number": "218-444-3000",
            "fax_number": "218-444-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013106",
            "telephone_number": "218-444-3000",
            "fax_number": "218-444-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKERLUND",
        "first_name": "RYAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "1178643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.