Active NPI
Daniel Ralph Gulseth, RPH
- Pharmacist
- Dilworth, MN
National Provider Identifier
1093977894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2817
- Practice address
- 437 Kroshus Dr
Dilworth, MN 56529-1636 - Phone
- (218) 287-0690
- Fax
- (218) 287-0690
- NPI assigned
- Jul 2, 2008
- Last updated
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 2817 | ND | Primary |
Addresses
Primary practice location
437 Kroshus Dr
Dilworth, MN 56529-1636
Mailing address
437 Kroshus Dr
Dilworth, MN 56529-1636
Phone (218) 287-0690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2817 | Medicaid | ND |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2817 | ND | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1093977894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 KROSHUS DR",
"city": "DILWORTH",
"state": "MN",
"postal_code": "565291636",
"telephone_number": "218-287-0690",
"fax_number": "218-287-0690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 KROSHUS DR",
"city": "DILWORTH",
"state": "MN",
"postal_code": "565291636",
"telephone_number": "218-287-0690",
"fax_number": "218-287-0690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULSETH",
"first_name": "DANIEL",
"middle_name": "RALPH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "2817",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2817",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dilworth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.