Deborah Ann Thibodeau, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

1124639 Issued in MN

Practice address

1920 Grant St NW
Faribault, MN 55021-4831

Phone

(507) 334-1555

Fax

(507) 334-9030

NPI assigned

Jul 8, 2005

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1177)

  • Community/Retail Pharmacy
  • Faribault, MN
  • NPI 1053340711
  NPD (past)
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (#1876)

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1467450932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GREENHAVEN BAY",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550219257",
            "telephone_number": "507-334-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GRANT ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550214831",
            "telephone_number": "507-334-1555",
            "fax_number": "507-334-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBODEAU",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "1124639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jane Tetzloff, MD
• The Dentists House LLC
• The Emeralds at Faribault Assisted Living LLC
• The Emeralds at Faribault LLC
• Therapywerks PA
• Thomas Backenstose (Faribault Dental Care)
• Jordan Thompson
• Thomas Thornton, ABS
• Peter Jon Thurnau
• Doreen Anne Tierney

• Pharmacist in Faribault, MN
• Providers in Faribault, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.