Active NPI
Daniel John Aulwes, RPH
- Pharmacist
- Columbia Heights, MN
National Provider Identifier
1417067737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1132362
- Practice address
- 4000 Central Ave NE
#100
Columbia Heights, MN 55421-2968 - Phone
- (763) 236-2596
- NPI assigned
- Aug 30, 2006
- 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 | 1132362 | MN | Primary |
Addresses
Primary practice location
4000 Central Ave NE
#100
Columbia Heights, MN 55421-2968
Mailing address
4000 Central Ave NE
#100
Columbia Heights, MN 55421-2968
Phone (763) 236-2596
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1132362 | Other | MN | 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1132362 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1417067737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 CENTRAL AVE NE",
"address_2": "#100",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212968",
"telephone_number": "763-236-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 CENTRAL AVE NE",
"address_2": "#100",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212968",
"telephone_number": "763-236-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AULWES",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "1132362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1132362",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.