Katie Jo Thielen, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

118326 Issued in MN

Practice address

1008 Highway 55 E
Buffalo, MN 55313-8906

Phone

(763) 682-5825

NPI assigned

Dec 8, 2011

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194093955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HIGHWAY 55 E",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553138906",
            "telephone_number": "763-682-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HIGHWAY 55 E",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553138906",
            "telephone_number": "763-682-5825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Highway 25 N",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131920",
            "country_code": "US",
            "telephone_number": "763-682-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118326",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Taber
• Zinaida Talijan, MD
• Sheri Jo Tesch, MS LMFT
• Jeffrey Joseph Theismann
• Gina Marie Theisz, LICSW
• Thomas M Hanson DDS PA
• Gina Ann Thompson
• Carine Tiam
• Samantha Marie Tiegs
• Dustin Michael Timmons, MD

• Pharmacist in Buffalo, MN
• Providers in Buffalo, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.