Candace Louise Haugtvedt, RPH, MS, PHD

Primary specialty

PharmacistTaxonomy code 183500000X

License

119986 Issued in MN

Practice address

321 US-10 West
Detroit Lakes, MN 56501

Phone

(218) 847-9248

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Candace Louise Wenberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy, Registered Pharmacist

State licenses

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.

• White Drug Enterprises Inc

  dba Thrifty White Pharmacy #023

  • Community/Retail Pharmacy
  • Detroit Lakes, MN
  • NPI 1326137928
  NPD (past)
• White Drug Enterprises Inc

  dba Thrifty White Pharmacy #080

  • Long Term Care Pharmacy
  • New Berlin, WI
  • NPI 1033521109
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1588265649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HIGHWAY 10 W",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "565013046",
            "telephone_number": "218-847-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 US-10 WEST",
            "city": "DETROIT LAKES",
            "state": "MN",
            "postal_code": "56501",
            "telephone_number": "218-847-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGTVEDT",
        "first_name": "CANDACE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "RPH, MS, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4018",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03317263",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "40992",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "WENBERG",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "credential": "RPH, MS, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Harting
• Jean A Hartl, RDLD/CDE
• Jonathon Michael Haug, D.C.
• Connor David Haugrud
• Jan Renae Haugrud, MSW, LICSW
• Alex Hauke, PHARMD
• Rachel Hauke
• Health Ride Van, LLC
• Joseph M Heinz, DPT
• Sarah Leann Helm

• Pharmacist in Detroit Lakes, MN
• Providers in Detroit Lakes, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.