Robert Scott Nystrom, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

13324 Issued in MN

Practice address

209 Washington St
Brainerd, MN 56401-3393

Phone

(218) 829-3529

Fax

(218) 829-1861

NPI assigned

Aug 20, 2019

Last updated

Aug 20, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

Practice roles

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.

• Thrifty Drug Stores Inc

  dba Thrifty Nystrom Drug #738

  • Community/Retail Pharmacy
  • Brainerd, MN
  • NPI 1134218738
  NPD (past)
• Thrifty Drug Stores Inc

  dba Thrifty White Pharmacy #795

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1710678545
  NPD (past)

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1588211015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013393",
            "telephone_number": "218-825-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WASHINGTON ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013393",
            "telephone_number": "218-829-3529",
            "fax_number": "218-829-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYSTROM",
        "first_name": "ROBERT",
        "middle_name": "SCOTT",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "13324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "BRAINERD",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "209 Washington St",
            "city": "Brainerd",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564013393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Northern Orthopedics LTD
• Northern Pines Community Mental Health Center
• Northern Pines Mental Health Center, Inc
• Northern Pines Mental Health Center, Inc.
• Rachel Norwood, MASTER OF ARTS, LPCC
• Michael Charles O'Day, D.C.
• James J O'Hearn
• Robert O'Neill
• Oakridge Homes of Wadena, Inc.
• Oakridge Support Services, Inc

• Pharmacist in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.