Dustin Kakach, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

123598 Issued in MN

Practice address

6417 Penn Ave S Ste 810-6
Richfield, MN 55423-1186

Phone

(612) 524-9119

NPI assigned

May 24, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Walgreen Co

  • Pharmacy
  • Blaine, MN
  • NPI 1124033352
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622937600000",
    "number": "1548751654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 810-6",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "612-524-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 PENN AVE S STE 810-6",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231186",
            "telephone_number": "612-524-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKACH",
        "first_name": "DUSTIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-06-06",
        "certification_date": "2021-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "123598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "123598",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd A Jorgenson, MD
• Annamarie Jump, COTA/L
• Summer Rae Juneau
• Dave Jungwirth
• Kahin Home Health Care
• Kenzie Jean Kalway, PT, DPT
• Kangle LLC
• McKaya Kastner, PHARMD
• James R. Keller, D.D.S.
• Katie Lynn Kelley, PHARM D

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Richfield, MN
• Providers in Richfield, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; 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.