Jordan Rist, PHARM D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

123955 Issued in MN

Practice address

2000 Paul Bunyan Dr NW
Bemidji, MN 56601-5603

Phone

(218) 751-6380

NPI assigned

Aug 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1184149296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015603",
            "telephone_number": "218-751-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015603",
            "telephone_number": "218-751-6380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6999 Jackrabbit Ln",
            "address_purpose": "LOCATION",
            "city": "Belgrade",
            "state": "MT",
            "postal_code": "597148961",
            "country_code": "US",
            "telephone_number": "406-388-1696 x4",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIST",
        "first_name": "JORDAN",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-35850",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "123955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "123955",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "MT35850",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Jean Rickers, B.S, LADC
• Joan Riemer, MSW, LICSW
• Kyle Jonathan Riess, PHARMD
• Kathleen Ann Riggs, CHC, IFNCP
• David A Riley, M.D.
• Stephen Joner Rith-Najarian, MD
• Erin Joy Rizzi, NP
• Sarah Joy Robeck
• Robert S Johnson Chiropractic LTD
• Glen Mark Robia, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.