Active NPI
Kathryn Clare Dewolfe, RPH
- Pharmacist
- Rosemount, MN
National Provider Identifier
1134499643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115650
- Practice address
- 2662 148TH St W
Rosemount, MN 55068-3185 - Phone
- (612) 310-6066
- NPI assigned
- Jan 1, 2012
- Sex
- Female
- 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 | 115650 | MN | Primary |
Addresses
Primary practice location
2662 148TH St W
Rosemount, MN 55068-3185
Mailing address
2662 148TH St W
Rosemount, MN 55068-3185
Phone (612) 310-6066
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 |
|---|---|---|---|
| 115650 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325376000000",
"number": "1134499643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2662 148TH ST W",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550683185",
"telephone_number": "612-310-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2662 148TH ST W",
"city": "ROSEMOUNT",
"state": "MN",
"postal_code": "550683185",
"telephone_number": "612-310-6066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWOLFE",
"first_name": "KATHRYN",
"middle_name": "CLARE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-01",
"last_updated": "2012-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemount, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.