Active NPI
Robert Ott, PHARM.D.
- Pharmacist
- Deer River, MN
National Provider Identifier
1235676263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114578
- Practice address
- 2 Division St
Deer River, MN 56636-8779 - Phone
- (218) 246-8642
- Fax
- (218) 246-9328
- NPI assigned
- Jan 29, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 114578 | MN | Primary |
Addresses
Primary practice location
2 Division St
Deer River, MN 56636-8779
Mailing address
117 Main Ave E
PO Box 577
Deer River, MN 56636-8735
Phone (218) 246-8642
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 |
|---|---|---|---|
| 114578 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1235676263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 MAIN AVE E",
"address_2": "PO BOX 577",
"city": "DEER RIVER",
"state": "MN",
"postal_code": "566368735",
"telephone_number": "218-246-8642",
"fax_number": "218-246-9328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DIVISION ST",
"city": "DEER RIVER",
"state": "MN",
"postal_code": "566368779",
"telephone_number": "218-246-8642",
"fax_number": "218-246-9328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-29",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.