Active NPI
Michael Fischer, PHARMD
- Pharmacist
- Willernie, MN
National Provider Identifier
1104534908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118715
- Practice address
- 464 Stillwater Rd
Willernie, MN 55090 - Phone
- (651) 666-2117
- Fax
- (651) 666-2113
- NPI assigned
- Nov 10, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 118715 | MN | Primary |
Addresses
Primary practice location
464 Stillwater Rd
Willernie, MN 55090
Mailing address
PO Box 298
Willernie, MN 55090-0298
Phone (651) 666-2117
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118715 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Compounding Pharmacy LLC | Past | Accepting new patients | |
| Mix Pharmacy, LLC | 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 and National Provider Directory roles.
-
- Compounding Pharmacy
- Willernie, MN
- NPI 1902728025
-
- Compounding Pharmacy
- Oakdale, MN
- NPI 1346383601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1104534908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 298",
"city": "WILLERNIE",
"state": "MN",
"postal_code": "550900298",
"telephone_number": "651-666-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 STILLWATER RD",
"city": "WILLERNIE",
"state": "MN",
"postal_code": "55090",
"telephone_number": "651-666-2117",
"fax_number": "651-666-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MICHAEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-10",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willernie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.