Individual provider Active NPI

Kyle Thomas Townswick, PHARMD

  • Pharmacist
  • Willmar, MN
National Provider Identifier
1093168502
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
122958 Issued in MN
Practice address
2300 1St St S
Willmar, MN 56201-4212
Phone
(320) 235-1930
Fax
(320) 235-7801
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 122958 MN Primary

Addresses

Primary practice location

2300 1St St S
Willmar, MN 56201-4212

Mailing address

5800 E Eagle Lake Rd
Willmar, MN 56201-4456
Phone (320) 894-6779

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

LicenseStateTypeSpecialty
122958MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White Drug Enterprises Inc Past Accepting new patients
White Drug Enterprises Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1093168502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 E EAGLE LAKE RD",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014456",
            "telephone_number": "320-894-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 1ST ST S",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014212",
            "telephone_number": "320-235-1930",
            "fax_number": "320-235-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSWICK",
        "first_name": "KYLE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.