Active NPI
Lynette L Perreault, PHARM. D.
- Pharmacist
- Morris, MN
National Provider Identifier
1144530510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118654
- Practice address
- 533 Atlantic Ave
Morris, MN 56267 - Phone
- (320) 589-4550
- Fax
- (320) 589-4555
- NPI assigned
- Oct 19, 2010
- Last updated
- Oct 19, 2010
- Sex
- Female
- 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 | 118654 | MN | Primary |
Addresses
Primary practice location
533 Atlantic Ave
Morris, MN 56267
Mailing address
533 Atlantic Ave
Morris, MN 56267
Phone (320) 589-4550
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 |
|---|---|---|---|
| 118654 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Drug Stores Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Thrifty White Pharmacy #795
- Community/Retail Pharmacy
- Wadena, MN
- NPI 1710678545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1144530510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 ATLANTIC AVE",
"city": "MORRIS",
"state": "MN",
"postal_code": "56267",
"telephone_number": "320-589-4550",
"fax_number": "320-589-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 ATLANTIC AVE",
"city": "MORRIS",
"state": "MN",
"postal_code": "56267",
"telephone_number": "320-589-4550",
"fax_number": "320-589-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERREAULT",
"first_name": "LYNETTE",
"middle_name": "L",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morris, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.