Active NPI
Daniel W Fougner, PHARM D
- Pharmacist
- Detroit Lakes, MN
National Provider Identifier
1316204365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 117554
- Practice address
- 1305 Highway 10 W
Detroit Lakes, MN 56501-2214 - Phone
- (218) 847-9755
- Fax
- (218) 847-9756
- NPI assigned
- Apr 16, 2012
- 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 | 117554 | MN | Primary |
Addresses
Primary practice location
1305 Highway 10 W
Detroit Lakes, MN 56501-2214
Mailing address
1305 Highway 10 W
Detroit Lakes, MN 56501-2214
Phone (218) 847-9755
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 |
|---|---|---|---|
| 117554 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1316204365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 HIGHWAY 10 W",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565012214",
"telephone_number": "218-847-9755",
"fax_number": "218-847-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 HIGHWAY 10 W",
"city": "DETROIT LAKES",
"state": "MN",
"postal_code": "565012214",
"telephone_number": "218-847-9755",
"fax_number": "218-847-9756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUGNER",
"first_name": "DANIEL",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "117554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit Lakes, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.