Active NPI
Amber Axtell
- Pharmacist
- Mora, MN
National Provider Identifier
1578036224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 119447
- Practice address
- 301 Highway 65 S
Mora, MN 55051-1899 - Phone
- (320) 209-1542
- NPI assigned
- Jan 5, 2019
- Last updated
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 119447 | MN | Primary |
Addresses
Primary practice location
301 Highway 65 S
Mora, MN 55051-1899
Mailing address
1425 Main St N
Pine City, MN 55063-6026
Phone (320) 322-5141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aaxtell414169@excellian.direct.allina.com | Direct | Welia Health |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 119447 | MN | MD | Pharmacist |
Interoperability endpoints
- aaxtell414169@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1578036224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MAIN ST N",
"city": "PINE CITY",
"state": "MN",
"postal_code": "550636026",
"telephone_number": "320-322-5141",
"fax_number": "320-322-5132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HIGHWAY 65 S",
"city": "MORA",
"state": "MN",
"postal_code": "550511899",
"telephone_number": "320-209-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXTELL",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-05",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119447",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aaxtell414169@excellian.direct.allina.com",
"affiliation": "Y",
"affiliationName": "Welia Health",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "301 Highway 65 S",
"city": "Mora",
"state": "MN",
"country_code": "US",
"postal_code": "550511899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mora, MN
- Matthew Gordon Allen, M.D.
- Abagail LM Anderson, LADC
- Ibkhan Ansine, MD
- Kimberly Ann Apel
- Augustana Senior Development II (Eastwood Senior Living)
- Jamie Rose Bankers
- Samantha Lynn Bednar, ATC
- Glen Thomas Bellefeuille
- Benedictine Living Community of Mora (St. Clare Home Health)
- Benedictine Living Community of Mora
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.