Active NPI
Michael David Ahlers, PHARMD
- Pharmacist
- Worthington, MN
National Provider Identifier
1447414818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119268
- Practice address
- 923 6TH Ave
Worthington, MN 56187-2703 - Phone
- (507) 372-7371
- Fax
- (507) 372-7781
- NPI assigned
- Jul 15, 2008
- 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 | 119268 | MN | Primary |
Addresses
Primary practice location
923 6TH Ave
Worthington, MN 56187-2703
Mailing address
923 6TH Ave
Worthington, MN 56187-2703
Phone (507) 372-7371
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 |
|---|---|---|---|
| 119268 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WTGN Pharmacy Services LTD | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Guidepoint Pharmacy #104
- Community/Retail Pharmacy
- Worthington, MN
- NPI 1447364815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221523200000",
"number": "1447414818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 6TH AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561872703",
"telephone_number": "507-372-7371",
"fax_number": "507-372-7781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "923 6TH AVE",
"city": "WORTHINGTON",
"state": "MN",
"postal_code": "561872703",
"telephone_number": "507-372-7371",
"fax_number": "507-372-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHLERS",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-15",
"last_updated": "2008-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worthington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.