Active NPI
Michelle Hoffman, PHARM.D.
- Pharmacist
- Grand Rapids, MN
National Provider Identifier
1578898375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00063931
- Practice address
- 100 SE 29TH St
Grand Rapids, MN 55744-4043 - Phone
- (218) 326-9401
- NPI assigned
- Oct 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 119879 | MN | |
| Pharmacist | 183500000X | PH00063931 | WA | Primary |
Addresses
Primary practice location
100 SE 29TH St
Grand Rapids, MN 55744-4043
Mailing address
100 SE 29TH St
Grand Rapids, MN 55744-4043
Phone (218) 326-9401
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119879 | MN | MD | Pharmacist |
| PH00063931 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1578898375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SE 29TH ST",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444043",
"telephone_number": "218-326-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SE 29TH ST",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444043",
"telephone_number": "218-326-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "119879",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00063931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.