Active NPI
Michael Flatten, PHARMD.
- Pharmacist
- Elk River, MN
National Provider Identifier
1497037931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122051
- Practice address
- 18267 Carson CT NW
Elk River, MN 55330-2733 - Phone
- (763) 252-1175
- Fax
- (763) 252-1179
- NPI assigned
- Sep 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16884-40 | WI | |
| Pharmacist | 183500000X | 122051 | MN | Primary |
Addresses
Primary practice location
18267 Carson CT NW
Elk River, MN 55330-2733
Mailing address
18267 Carson CT NW
Elk River, MN 55330-2733
Phone (763) 252-1175
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 |
|---|---|---|---|
| 122051 | MN | MD | Pharmacist |
| 16884-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485043200000",
"number": "1497037931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18267 CARSON CT NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302733",
"telephone_number": "763-252-1175",
"fax_number": "763-252-1179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18267 CARSON CT NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553302733",
"telephone_number": "763-252-1175",
"fax_number": "763-252-1179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLATTEN",
"first_name": "MICHAEL",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-11",
"last_updated": "2017-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16884-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.