Medication Therapy Management Inc. P.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDICATION THERAPY MANAGEMENT INC. P.C.

Doing business as

MTM Clinic
Medication Therapy Management Service at Mankato

Practice address

1320 Ithilien
Excelsior, MN 55331-9032

Phone

(507) 301-6867

Fax

(952) 474-3220

NPI assigned

Apr 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tsuhua Susan Chen, PHARMDNPI 1982972758

Title

President

Phone

(507) 301-6867

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 2

• MTM Clinic Doing business as
• Medication Therapy Management Service at Mankato Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tsuhua Susan Chen, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Eden Prairie, MN
  • NPI 1982972758
  NPD Authorized official

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1225371701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ITHILIEN",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319032",
            "telephone_number": "507-301-6867",
            "fax_number": "952-474-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ITHILIEN",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319032",
            "telephone_number": "507-301-6867",
            "fax_number": "952-474-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICATION THERAPY MANAGEMENT INC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "TSUHUA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-301-6867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "MN",
            "license": "264077",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2432083",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTM Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medication Therapy Management Service at Mankato",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andres Bernard Masis, DPT, ATC/R
• Valetta Johnson Massaquoi, MSN, APRN, FNP-BC
• Abby Master
• McSharry Chiro LLC
• Nathan R Meads, PA-C
• Mitchell Craig Melohn, D.C.
• Alissa Merrick
• Candia Meyer, LMT
• Clare Meyer
• Shari Lynn Michels

• Primary Care Clinic/Center in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Primary Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.