Active NPI
Megan Jo Driessen, PHARMD RPH
- Pharmacist
- Canby, MN
National Provider Identifier
1558015263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 121800
- Practice address
- 130 Saint Olaf Ave N
Canby, MN 56220-1372 - Phone
- (507) 223-5955
- Fax
- (507) 223-5696
- NPI assigned
- Feb 10, 2022
- Last updated
- Feb 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 121800 | MN | Primary |
Addresses
Primary practice location
130 Saint Olaf Ave N
Canby, MN 56220-1372
Mailing address
611 Haarfager Ave N
Canby, MN 56220-1045
Phone (507) 828-2798
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121800 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canby Drug & Gifts Inc | Current | Accepting new patients | |
| Canby Drug & Gifts Inc | Past | Accepting new patients |
Locations
130 Saint Olaf Ave N
Canby, MN 56220
Phone (507) 223-5955
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1558015263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 HAARFAGER AVE N",
"city": "CANBY",
"state": "MN",
"postal_code": "562201045",
"telephone_number": "507-828-2798",
"fax_number": "507-223-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 SAINT OLAF AVE N",
"city": "CANBY",
"state": "MN",
"postal_code": "562201372",
"telephone_number": "507-223-5955",
"fax_number": "507-223-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRIESSEN",
"first_name": "MEGAN",
"middle_name": "JO",
"credential": "PHARMD RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canby, MN
- Canby Chiropractic Center PLLC (Canby Chiropractic Center)
- Canby Drug & Gifts Inc (Canby Drug & Gifts)
- Canby Drug & Gifts Inc (Canby Drug)
- Canby Public Schools Isd 891
- Michelle Marie Danielson, CNP
- Luke Vincent Fuhrman, MD
- Holly L Gisi-York, CNP
- Adam Lee Hoffmann, PT, DPT, ITPT
- Jennifer Jackson, P.T.
- Jorzach Inc (Heartland Eyecare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.