Active NPI
Dustin Robert Chelberg, PHARMD
- Pharmacist
- Bloomington, MN
National Provider Identifier
1245870633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 124595
- Practice address
- 9800 Lyndale Ave S
Bloomington, MN 55420-4731 - Phone
- (952) 884-8246
- NPI assigned
- Jan 14, 2020
- Last updated
- Jan 14, 2020
- 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 | 124595 | MN | Primary |
Addresses
Primary practice location
9800 Lyndale Ave S
Bloomington, MN 55420-4731
Mailing address
2330 Lexington Ave S Apt 205
Mendota Heights, MN 55120-1225
Phone (612) 308-3234
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 |
|---|---|---|---|
| 124595 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1245870633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 LEXINGTON AVE S APT 205",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201225",
"telephone_number": "612-308-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9800 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554204731",
"telephone_number": "952-884-8246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELBERG",
"first_name": "DUSTIN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-14",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "124595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.