James Michael Mandt, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

1122411 Issued in MN

Practice address

911 Northland Drive
Fairview Northland Medical Center
Princeton, MN 55371

Phone

(763) 389-6396

Fax

(763) 389-6395

NPI assigned

Sep 7, 2007

Sex

Male

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

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1497940928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 NORTHLAND DRIVE",
            "address_2": "FAIRVIEW NORTHLAND MEDICAL CENTER",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "55371",
            "telephone_number": "763-389-6396",
            "fax_number": "763-389-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 NORTHLAND DRIVE",
            "address_2": "FAIRVIEW NORTHLAND MEDICAL CENTER",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "55371",
            "telephone_number": "763-389-6396",
            "fax_number": "763-389-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDT",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "1122411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helle Eileen Lukk, MD
• Alex Lund, DDS
• Heidi Anne Lund, D.D.S.
• Cindy Ann Lundgren, PA-C
• Vui Van Mai, M.D.
• Sean Cameron Mansfield, MA, LADC, BCC
• James John Martineau, RN, MSN, FNP, NP-C
• Lori J Marx, PA-C
• Rachael Lynn Mattson
• Clifford M Matushin, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.