Nicole Kruger, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

117153 Issued in MN

Practice address

120 Main Ave W
Twin Valley, MN 56584-4000

Phone

(218) 584-5147

NPI assigned

Sep 13, 2016

Last updated

Sep 13, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Twin Valley Pharmacy

  dba Twin Valley Drug

  • Community/Retail Pharmacy
  • Twin Valley, MN
  • NPI 1780761262
  NPD (past) Authorized official
• Twin Valley Pharmacy LLC

  dba Twin Valley Pharmacy- Ulen

  • Community/Retail Pharmacy
  • Ulen, MN
  • NPI 1346757457
  Authorized official Same address or phone
• Twin Valley Pharmacy, LLC

  • Long Term Care Pharmacy
  • Twin Valley, MN
  • NPI 1467902536
  NPD (past) Authorized official

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1164970679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 230TH ST N",
            "city": "HAWLEY",
            "state": "MN",
            "postal_code": "565499644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MAIN AVE W",
            "city": "TWIN VALLEY",
            "state": "MN",
            "postal_code": "565844000",
            "telephone_number": "218-584-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Wayne Dewey, RPH
• Lutheran Homes (Twin Valley Living Center & Lincoln Terrace)
• G. Thomas Nelson, D.C.
• Norman County East School District No 2215
• Dirgha Prasai
• Sanford Medical Center Fargo (Sanford Health Twin Valley Clinic)

• Pharmacist in Twin Valley, MN
• Providers in Twin Valley, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.