Individual provider Active NPI

Daniel Mark Tomaszewski, PHARM.D.

  • Pharmacist
  • Duluth, MN
National Provider Identifier
1386873065
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
119626 Issued in MN
Practice address
1110 Kirby Dr
130 Life Science
Duluth, MN 55812-3003
Phone
(218) 726-6050
Fax
(218) 726-6500
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 339952 WI
Pharmacist 183500000X 119626 MN Primary

Addresses

Primary practice location

1110 Kirby Dr
130 Life Science
Duluth, MN 55812-3003

Mailing address

1110 Kirby Dr
130 Life Science
Duluth, MN 55812-3003
Phone (218) 726-6050

Other identifiers 2

IdentifierTypeStateIssuer
339952OtherWIPHARMACIST LICENSE
119626OtherMNPHARMACIST LICENSE

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

LicenseStateTypeSpecialty
119626MNMDPharmacist
339952WIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1386873065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 KIRBY DR",
            "address_2": "130 LIFE SCIENCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123003",
            "telephone_number": "218-726-6050",
            "fax_number": "218-726-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KIRBY DR",
            "address_2": "130 LIFE SCIENCE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558123003",
            "telephone_number": "218-726-6050",
            "fax_number": "218-726-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASZEWSKI",
        "first_name": "DANIEL",
        "middle_name": "MARK",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "339952",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "339952",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "119626",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.