Chad T Fleahman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

122202 Issued in MN

Practice address

2312 Bemidji Ave N
Bemidji, MN 56601-2318

Phone

(218) 751-1626

NPI assigned

Nov 27, 2020

Last updated

Nov 27, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Grand St Paul CVS LLC

  dba CVS Pharmacy # 11046

  • Pharmacy
  • Plymouth, MN
  • NPI 1437620903
  NPD (past)
• Grand St. Paul CVS LLC

  dba CVS Pharmacy # 10756

  • Pharmacy
  • Bemidji, MN
  • NPI 1679949028
  NPD (past)

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1093319394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012318",
            "telephone_number": "218-751-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 BEMIDJI AVE N",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012318",
            "telephone_number": "218-751-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEAHMAN",
        "first_name": "CHAD",
        "middle_name": "T",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "122202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA LICCENST NUMBER",
            "identifier": "122202",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Marie Fish Peterson, MS-CCC, SLP
• Jonathan Ross Fish, M.D.
• David Douglas Fisher, LP
• Matthew B Fjeld, CRNA
• Peter Craig Flaa, P.T.
• Rachel Irene Fleming
• Steve Flinkenstein, D.O.
• Paige Victoria Flint
• Peter Michael Fliss, D.O.
• Hiedi Folkert, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.