Individual provider Active NPI

Ty Cole Schaper, PHARM. D

  • Pharmacist
  • Blaine, MN
National Provider Identifier
1457005860
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
125160 Issued in MN
Practice address
585 Northtown Dr NE
Blaine, MN 55434-1045
Phone
(763) 780-7350
Fax
(763) 784-3626
NPI assigned
Feb 5, 2022
Last updated
Feb 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 125160 MN Primary

Addresses

Primary practice location

585 Northtown Dr NE
Blaine, MN 55434-1045

Mailing address

3501 Xenium LN N Apt 351
Plymouth, MN 55441-2216
Phone (701) 870-1886

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
125160MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1457005860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 XENIUM LN N APT 351",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412216",
            "telephone_number": "701-870-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 NORTHTOWN DR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341045",
            "telephone_number": "763-780-7350",
            "fax_number": "763-784-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAPER",
        "first_name": "TY",
        "middle_name": "COLE",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "125160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.