Individual provider Active NPI

Austin Scott Morris Jones, CH(R)C, CPHT

  • Pharmacy Technician
  • Bemidji, MN
National Provider Identifier
1578023016
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
732609 Issued in MN
Practice address
421 Paul Bunyan Dr NW
Bemidji, MN 56601-2435
Phone
(218) 333-4032
NPI assigned
Mar 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PHTC048291 GA
Pharmacy Technician 183700000X WI
Student in an Organized Health Care Education/Training Program 390200000X
Pharmacy Technician 183700000X PT24765 MA
Pharmacy Technician 183700000X 732609 MN Primary

Addresses

Primary practice location

421 Paul Bunyan Dr NW
Bemidji, MN 56601-2435

Mailing address

421 Paul Bunyan Dr NW
Bemidji, MN 56601-2435
Phone (218) 333-4032

Other practice location 1

1131 E Superior St
Duluth, MN 55802-2216
Phone (218) 724-3060

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

State licenses

LicenseStateTypeSpecialty
PHTC048291GAMDPharmacy Technician
PT24765MAMDPharmacy Technician
732609MNMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Aug 14, 2022 Accepting new patients
Walgreen Co CurrentSince Apr 17, 2022 Accepting new patients
Walgreen Co PastSince Sep 1, 2019 Accepting new patients

Locations

421 Paul Bunyan Dr NW
Bemidji, MN 56601
Phone (218) 333-4032

1131 E Superior St
Duluth, MN 55802
Phone (218) 724-3060

Organizations & group practices 3

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1578023016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012435",
            "telephone_number": "218-333-4032",
            "fax_number": "218-333-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 PAUL BUNYAN DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012435",
            "telephone_number": "218-333-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1131 E Superior St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558022216",
            "country_code": "US",
            "telephone_number": "218-724-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "AUSTIN",
        "middle_name": "SCOTT MORRIS",
        "credential": "CH(R)C, CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC048291",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MA",
            "license": "PT24765",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MN",
            "license": "732609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.