Bradley Eugene Teske, R.PH.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

111662 Issued in MN

Practice address

951 E Frontage Rd
Litchfield, MN 55355-2613

Phone

(320) 693-3261

Fax

(320) 593-3264

NPI assigned

Dec 29, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Ericksons Diversified LLC

  • Community/Retail Pharmacy
  • Litchfield, MN
  • NPI 1134277403
  NPD (past)
• Ericksons Diversified LLC

  • Community/Retail Pharmacy
  • Red Wing, MN
  • NPI 1194873000
  NPD (past)

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1487958864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 E FRONTAGE RD",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552613",
            "telephone_number": "320-693-3261",
            "fax_number": "320-593-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 E FRONTAGE RD",
            "city": "LITCHFIELD",
            "state": "MN",
            "postal_code": "553552613",
            "telephone_number": "320-693-3261",
            "fax_number": "320-593-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESKE",
        "first_name": "BRADLEY",
        "middle_name": "EUGENE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MN",
            "license": "111662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA BOARD OF PHARMACY",
            "identifier": "111662",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Cloud Hospital
• Steven Bachman
• Anita M Strei, MD
• Ryan P Swenson, DDS
• Terrence L Tancabel, O.D.
• Fallon Madeline Theis, DDS
• Angela Heather Thompson, RN
• Timothy R. Kinsella DC PLLC
• Tomorrow, LLC
• Tomorrow, LLC

• Pharmacotherapy Pharmacist in Litchfield, MN
• Providers in Litchfield, MN by specialty
• Pharmacotherapy Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.