Active NPI
Amy Marie Thelemann, PHARMD
- Ambulatory Care Pharmacist
- New Prague, MN
National Provider Identifier
1205388238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 117258
- Practice address
- 301 2ND St NE
New Prague, MN 56071-1709 - Phone
- (952) 257-8184
- Fax
- (952) 758-5186
- NPI assigned
- Oct 25, 2016
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 117258 | MN | Primary |
Addresses
Primary practice location
301 2ND St NE
New Prague, MN 56071-1709
Mailing address
301 2ND St NE
New Prague, MN 56071-1709
Phone (952) 257-8184
Other practice location 1
1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | athelemann91888@ehrdirect.mayoclinicmsg.org |
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 |
|---|---|---|---|
| 117258 | MN | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1205388238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 2ND ST NE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560711709",
"telephone_number": "952-257-8184",
"fax_number": "952-758-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 2ND ST NE",
"city": "NEW PRAGUE",
"state": "MN",
"postal_code": "560711709",
"telephone_number": "952-257-8184",
"fax_number": "952-758-5186"
}
],
"practiceLocations": [
{
"address_1": "1025 Marsh St",
"address_purpose": "LOCATION",
"city": "Mankato",
"state": "MN",
"postal_code": "560014752",
"country_code": "US",
"telephone_number": "507-625-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THELEMANN",
"first_name": "AMY",
"middle_name": "MARIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "MN",
"license": "117258",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "athelemann91888@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1025 Marsh St",
"city": "Mankato",
"state": "MN",
"country_code": "US",
"postal_code": "560014752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Prague, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.