Active NPI
Gerald Wesole Lindsay, R.PH
- Pharmacist
- Crookston, MN
National Provider Identifier
1447762083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 111982
- Practice address
- 323 S Minnesota St
Crookston, MN 56716-1601 - Phone
- (218) 281-9420
- Fax
- (218) 281-9337
- NPI assigned
- Nov 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 111982 | MN | Primary |
Addresses
Primary practice location
323 S Minnesota St
Crookston, MN 56716-1601
Mailing address
323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111982 | Other | MN BOARD OF PHARMACY REGISTERED PHARMACIST |
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 |
|---|---|---|---|
| 111982 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1447762083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 S MINNESOTA ST",
"city": "CROOKSTON",
"state": "MN",
"postal_code": "567161601",
"telephone_number": "218-281-9420",
"fax_number": "218-281-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 S MINNESOTA ST",
"city": "CROOKSTON",
"state": "MN",
"postal_code": "567161601",
"telephone_number": "218-281-9420",
"fax_number": "218-281-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDSAY",
"first_name": "GERALD",
"middle_name": "WESOLE",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-03",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "111982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN BOARD OF PHARMACY REGISTERED PHARMACIST",
"identifier": "111982",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Crookston, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.