Patty Ann Doyle, PHARM.D., BCGP

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

117439 Issued in MN

Practice address

8712 Sandro Rd
Bloomington, MN 55438-1229

Phone

(612) 396-4974

Fax

(612) 396-4974

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1104325075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 SANDRO RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381229",
            "telephone_number": "612-396-4974",
            "fax_number": "612-396-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8712 SANDRO RD",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381229",
            "telephone_number": "612-396-4974",
            "fax_number": "612-396-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "PATTY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,   BCGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Geriatric",
            "state": "MN",
            "license": "117439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Dougherty
• Curran Gandsey Dougherty, DC
• Gerald H. Dove, M.D.
• Katherine Downing
• Arianna Elizabeth Doyle
• DPS Transportation LLC
• Dr Kim Stewart LLC
• Dr Richard E Brimacomb
• Dr. Jessi Phillips, on-Site Chiropractic
• Dr. Kaye B. Otter,P.a.

• Geriatric Pharmacist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Geriatric Pharmacist in Minnesota

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

Verify at the official NPI Registry.