Individual provider Active NPI

Alan Robert Jorgenson, R.PH.

  • Pharmacist
  • Rochester, MN
National Provider Identifier
1588950240
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
118203 Issued in MN
Practice address
3827 Marketplace Dr NW
T-1351
Rochester, MN 55901-3192
Phone
(507) 536-3898
Fax
(507) 536-3898
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 118203 MN Primary

Addresses

Primary practice location

3827 Marketplace Dr NW
T-1351
Rochester, MN 55901-3192

Mailing address

3827 Marketplace Dr NW
T-1351
Rochester, MN 55901-3192
Phone (507) 536-3898

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
118203MNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1588950240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3827 MARKETPLACE DR NW",
            "address_2": "T-1351",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013192",
            "telephone_number": "507-536-3898",
            "fax_number": "507-536-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3827 MARKETPLACE DR NW",
            "address_2": "T-1351",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013192",
            "telephone_number": "507-536-3898",
            "fax_number": "507-536-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSON",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "118203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.